Lake-Porter Cardiovascular Pc

LBN: Lake-Porter Cardiovascular Pc
Lake-Porter Cardiovascular Pc is an health care organization with primary practice located at 2000 Roosevelt Rd Ste 101 , Valparaiso IN 46383-2801. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Lake-Porter Cardiovascular Pc can be contacted via phone (219) 462-1619, or through Powers, Marcia via phone (219) 477-4452.

Contact Information

Primary practice address
2000 Roosevelt Rd Ste 101 Valparaiso IN 46383-2801
Phone: (219) 462-1619
Fax: (219) 548-0867
Website:
Map and Directions
Authorized official contact:
Name: Powers, Marcia
Phone: (219) 477-4452

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 50000940A Indiana

Profile Details

NPI number 1972694669
LBN Legal business name Lake-Porter Cardiovascular Pc
DBA Doing business as
Authorized official Powers, Marcia
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Dec 12th, 2019 - about 6 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 1972694669 NPPES
Indiana MEDICAID 100141870A

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