Upstate Vascular Study Lab

LBN: Upstate Vascular Study Lab, Inc
Upstate Vascular Study Lab is an health care organization with primary practice located at 2655 Ridgeway Avenue Suite # 260, Rochester NY 14626. The organization recently has only one registered license in Laboratories / Physiological Laboratory, which is considered as the primary health care specialty. Upstate Vascular Study Lab, Inc can be contacted via phone (585) 720-0818, or through Burgen, Tiffany A. via phone (585) 720-0818.

Contact Information

Primary practice address
2655 Ridgeway Avenue Suite # 260 Rochester NY 14626
Phone: (585) 720-0818
Fax: (585) 720-5427
Website:
Map and Directions
Authorized official contact:
Name: Burgen, Tiffany A.
Phone: (585) 720-0818

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Physiological Laboratory 293D00000X 124377 New York

Profile Details

NPI number 1194782938
LBN Legal business name Upstate Vascular Study Lab, Inc
DBA Doing business as Upstate Vascular Study Lab
Authorized official Burgen, Tiffany A.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Feb 6th, 2012 - 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 1194782938 NPPES
New York MEDICAID 00446135

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