NPIMap

Organization Active NPI

US Vascular Access Center of Philadelphia, LLC

  • Radiology Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1215132709
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
20461501 Issued in PA
Legal business name
US VASCULAR ACCESS CENTER OF PHILADELPHIA, LLC
Practice address
4220 Market St
Second Floor
Philadelphia, PA 19104-3007
Phone
(215) 386-4959
Fax
(215) 386-4950
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Debbie Wells
Title
Vice-President
Phone
(770) 955-2226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 20461501 PA Primary

Addresses

Primary practice location

4220 Market St
Second Floor
Philadelphia, PA 19104-3007

Mailing address

4220 Market St
Second Floor
Philadelphia, PA 19104-3007
Phone (215) 386-4959

National Provider Directory

National Provider Directory
Tax ID family
US Vascular Access Center of Dallasllc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215132709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 MARKET ST",
            "address_2": "SECOND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043007",
            "telephone_number": "215-386-4959",
            "fax_number": "215-386-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 MARKET ST",
            "address_2": "SECOND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043007",
            "telephone_number": "215-386-4959",
            "fax_number": "215-386-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US VASCULAR ACCESS CENTER OF PHILADELPHIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "770-955-2226",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PA",
            "license": "20461501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.