Eastside Vascular Llp

LBN: Eastside Vascular Llp
Eastside Vascular Llp is an health care organization with primary practice located at 1135 116Th Ave Ne Ste 220 , Bellevue WA 98004-4623. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Eastside Vascular Llp can be contacted via phone (425) 450-7007, or through Moorhead, Dudley via phone (425) 450-7007.

Contact Information

Primary practice address
1135 116Th Ave Ne Ste 220 Bellevue WA 98004-4623
Phone: (425) 450-7007
Fax: (425) 450-0026
Website:
Map and Directions
Authorized official contact:
Name: Moorhead, Dudley MEDICAL DOCTOR
Phone: (425) 450-7007

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1356471833
LBN Legal business name Eastside Vascular Llp
DBA Doing business as
Authorized official Moorhead, Dudley MEDICAL DOCTOR
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Nov 3rd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356471833 NPPES
Other CB3636 RAILROAD MEDICARE
MEDICAID 1371004 RAILROAD MEDICARE
MEDICAID 1098326 RAILROAD MEDICARE

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