Lafayette Regional Vein & Laser Center

LBN: Indiana Vascular Associates, Llc
Lafayette Regional Vein & Laser Center is an health care organization with primary practice located at 3920 St Francis Way Suite 105, Lafayette IN 47905-4917. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as the primary health care specialty. Indiana Vascular Associates, Llc can be contacted via phone (765) 807-2770, or through Schul, Marlin Wade via phone (765) 807-2770.

Contact Information

Primary practice address
3920 St Francis Way Suite 105 Lafayette IN 47905-4917
Fax: (765) 807-0348
Website:
Authorized official contact:
Name: Schul, Marlin Wade MD, MBA, RVT, FACPH

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X Indiana

Profile Details

NPI number 1922429141
LBN Legal business name Indiana Vascular Associates, Llc
DBA Doing business as Lafayette Regional Vein & Laser Center
Authorized official Schul, Marlin Wade MD, MBA, RVT, FACPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2013
Last updated Dec 16th, 2013 - 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 1922429141 NPPES
Indiana Other 11398636 CAQH
Indiana MEDICAID 100379350 CAQH

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