Advanced Vein Institute Of Arizona, Llc

LBN: Advanced Vein Institute Of Arizona, Llc
Advanced Vein Institute Of Arizona, Llc is an health care organization with primary practice located at 2155 E Conference Dr Ste 101 , Tempe AZ 85284-2604. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as the primary health care specialty. Advanced Vein Institute Of Arizona, Llc can be contacted via phone (480) 454-5562, or through Babcock, Jason B via phone (480) 454-5562.

Contact Information

Primary practice address
2155 E Conference Dr Ste 101 Tempe AZ 85284-2604
Phone: (480) 454-5562
Fax: (480) 868-2272
Website:
Map and Directions
Authorized official contact:
Name: Babcock, Jason B
Phone: (480) 454-5562

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 17760 Arizona

Profile Details

NPI number 1588029672
LBN Legal business name Advanced Vein Institute Of Arizona, Llc
DBA Doing business as
Authorized official Babcock, Jason B
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2015
Last updated Jan 17th, 2023 - about last year

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 1588029672 NPPES
Arizona MEDICAID 104597

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