Vascular Laboratory Services

LBN: James R Debord
Vascular Laboratory Services is an health care organization with primary practice located at 5409 N Knoxville Ave , Peoria IL 61614-5016. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. James R Debord can be contacted via phone (877) 852-4669, or through Debord, James via phone (877) 852-4669.

Contact Information

Primary practice address
5409 N Knoxville Ave Peoria IL 61614-5016
Phone: (877) 852-4669
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Debord, James Doctor of Medicine (MD)
Phone: (877) 852-4669

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1699783886
LBN Legal business name James R Debord
DBA Doing business as Vascular Laboratory Services
Authorized official Debord, James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Jun 1st, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699783886 NPPES
Illinois Other 330001311 RAILROAD MEDICARE
Illinois Other 07200604 RAILROAD MEDICARE
Illinois MEDICAID 0360520633 RAILROAD MEDICARE

Popular Providers