Vascular Diagnostic Lab

LBN: Vascular Diagnostic Lab
Vascular Diagnostic Lab is an health care organization with primary practice located at 3850 Foothills Rd. #3, Las Cruces NM 88011-8268. The organization recently has only one registered license in Laboratories / Physiological Laboratory, which is considered as the primary health care specialty. Vascular Diagnostic Lab can be contacted via phone (575) 522-5511, or through Polsky, Rita via phone (575) 635-7145.

Contact Information

Primary practice address
3850 Foothills Rd. #3 Las Cruces NM 88011-8268
Fax: (575) 522-0825
Website:
Authorized official contact:
Name: Polsky, Rita

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1245454073
LBN Legal business name Vascular Diagnostic Lab
DBA Doing business as
Authorized official Polsky, Rita
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Dec 31st, 2014 - about 12 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 1245454073 NPPES
New Mexico MEDICAID 00052597

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