Vascular Laboratory Of Santa Rosa, Inc.
LBN: Vascular Laboratory Of Santa Rosa, Inc.
Vascular Laboratory Of Santa Rosa, Inc. is an health care organization with primary practice located at 1111 Sonoma Ave Ste 322 , Santa Rosa CA 95405-4820. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Vascular Sonography, which is considered as the primary health care specialty.
Vascular Laboratory Of Santa Rosa, Inc. can be contacted via phone (707) 576-1522, or through Richardson, Robert via phone (707) 545-2436.
Contact Information
Primary practice address
1111 Sonoma Ave Ste 322
Santa Rosa CA 95405-4820
Phone: (707) 576-1522
Fax: (707) 576-1523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Vascular Sonography | 2471V0105X | C1090923 | California |
Profile Details
| NPI number | 1821202003 |
|---|---|
| LBN Legal business name | Vascular Laboratory Of Santa Rosa, Inc. |
| DBA Doing business as | |
| Authorized official | Richardson, Robert Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821202003 | NPPES |
| California | MEDICAID | GR0006300 |
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