Vein Clinic Pa

LBN: Vein Clinic Pa
Vein Clinic Pa is an health care organization with primary practice located at 16372 Kenrick Ave Suite 100, Lakeville MN 55044-3540. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Vein Clinic Pa can be contacted via phone (952) 892-1222, or through Gupta, Sameer via phone (952) 934-3296.

Contact Information

Primary practice address
16372 Kenrick Ave Suite 100 Lakeville MN 55044-3540
Fax: (952) 892-1221
Website:
Authorized official contact:
Name: Gupta, Sameer Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1457667784
LBN Legal business name Vein Clinic Pa
DBA Doing business as
Authorized official Gupta, Sameer Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2010
Last updated Jan 2nd, 2013 - about 11 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 1457667784 NPPES
Minnesota Other C05399 MEDICARE PTAN

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