Advanced Vein Therapy
LBN: Gem State Radiology Llp
Advanced Vein Therapy is an health care organization with primary practice located at 927 W Myrtle St Ste B , Boise ID 83702-7061. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is the primary health care specialty.
Gem State Radiology Llp can be contacted via phone (208) 947-0100, or through Baldwin, Wayne via phone (208) 384-9060.
Contact Information
Primary practice address
927 W Myrtle St Ste B
Boise ID 83702-7061
Phone: (208) 947-0100
Fax: (208) 384-9023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | ||
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X |
Profile Details
| NPI number | 1124258611 |
|---|---|
| LBN Legal business name | Gem State Radiology Llp |
| DBA Doing business as | Advanced Vein Therapy |
| Authorized official | Baldwin, Wayne |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 20th, 2009 |
| Last updated | Oct 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124258611 | NPPES |
| Idaho | MEDICAID | 805368800 |
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