Indiana Endovascular Specialists Llc
LBN: Indiana Endovascular Specialists Llc
Indiana Endovascular Specialists Llc is an health care organization with primary practice located at 3743 Landmark Dr Ste 300 , Lafayette IN 47905-6656. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Vascular Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is the primary health care specialty.
Indiana Endovascular Specialists Llc can be contacted via phone (317) 656-9089, or through Martinez, Brandon K via phone (317) 656-9089.
Contact Information
Primary practice address
3743 Landmark Dr Ste 300
Lafayette IN 47905-6656
Phone: (317) 656-9089
Fax:
Website:
Authorized official contact:
Name: Martinez, Brandon K Doctor of Medicine (MD)
Phone: (317) 656-9089
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ||
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ||
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X |
Profile Details
NPI number | 1417616525 |
---|---|
LBN Legal business name | Indiana Endovascular Specialists Llc |
DBA Doing business as | |
Authorized official | Martinez, Brandon K Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 16th, 2021 |
Last updated | Feb 22nd, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417616525 | NPPES |
Indiana | MEDICAID | 201022130 |
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