Valley Vascular Specialists

LBN: Layne Sandridge Md, Plc
Valley Vascular Specialists is an health care organization with primary practice located at 18700 N 64Th Dr Ste 105A , Glendale AZ 85308-7110. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Layne Sandridge Md, Plc can be contacted via phone (623) 688-5075, or through Sandridge, Layne C. via phone (623) 688-5075.

Contact Information

Primary practice address
18700 N 64Th Dr Ste 105A Glendale AZ 85308-7110
Phone: (623) 688-5075
Fax: (623) 688-5075
Website:
Map and Directions
Authorized official contact:
Name: Sandridge, Layne C. Doctor of Medicine (MD)
Phone: (623) 688-5075

Health care specialties

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

Profile Details

NPI number 1497253546
LBN Legal business name Layne Sandridge Md, Plc
DBA Doing business as Valley Vascular Specialists
Authorized official Sandridge, Layne C. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2018
Last updated Mar 21st, 2019 - about 5 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 1497253546 NPPES
Arizona MEDICAID 443661

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