DVL Vascular Lab Inc

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

804704 Issued in OH

Legal business name

DVL VASCULAR LAB INC

Practice address

627 S Edwin C Moses Blvd
Suite 3H
Dayton, OH 45417-3461

Phone

(937) 220-9934

Fax

(937) 220-9936

NPI assigned

Aug 17, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Kaye Roberts, RVT

Title

President

Phone

(937) 220-9934

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1114919065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453220276",
            "telephone_number": "937-220-9934",
            "fax_number": "937-220-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 S EDWIN C MOSES BLVD",
            "address_2": "SUITE 3H",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173461",
            "telephone_number": "937-220-9934",
            "fax_number": "937-220-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVL VASCULAR LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-220-9934",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RVT"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "OH",
            "license": "804704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0872793",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Durrant
• Rachel Durrant, CNP
• Amy J Durtschi, CT
• Ikenna F Duru, PHARMD
• Dana Lynn Dutton
• Tessa Dwire, MASW, LSW
• Ankit Dwivedi
• Katie Michele Dwyer, APRN
• Daniel Dye II
• Andrew Robert Dyer, D.C.

• Diagnostic Ultrasound Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Diagnostic Ultrasound Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.