Laredo Interventional Clinic PLLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

LAREDO INTERVENTIONAL CLINIC PLLC

Doing business as

Laredo Interventional Clinic

Practice address

7019 W Village Blvd
Ste 104
Laredo, TX 78041-2223

Phone

(717) 275-5869

NPI assigned

Feb 16, 2024

Last updated

Feb 16, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dinesh K Sundarakumar, MDNPI 1417235714

Title

Authorized Official

Phone

(717) 691-6768

Specialties & licenses 1

Addresses

Other names 2

• Laredo Interventional Clinic Doing business as
• Couger Claws PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dinesh Kumar Sundarakumar, MD

  • Diagnostic Radiology Physician
  • Lardo, TX
  • NPI 1417235714

  Vascular & Interventional Radiology

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1033974324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7019 W VILLAGE BLVD",
            "address_2": "STE 104",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412223",
            "telephone_number": "717-275-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7019 W VILLAGE BLVD",
            "address_2": "STE 104",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412223",
            "telephone_number": "717-275-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAREDO INTERVENTIONAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "SUNDARAKUMAR",
        "authorized_official_first_name": "DINESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "717-691-6768",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laredo Interventional Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Couger Claws PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Laredo Hope Ambulance Service LLP
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• Laredo Independent School District
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• Laredo Kids Advanced Therapy (Sunshine Therapy & Nursing Services)
• Laredo Kids Advanced Therapy Inc.
• Laredo Kids Eyeglasses
• Laredo Lapb and Center, Inc.
• Laredo Laser & Surgery , LTD.

• Vascular & Interventional Radiology Physician in Laredo, TX
• Providers in Laredo, TX by specialty
• Vascular & Interventional Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.