Organization Active NPI

Vascular Imaging Solutions LLC

Doing business as Valley Vein Solutions

  • Vascular Surgery Physician
  • Peoria, AZ
National Provider Identifier
1225857501
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
VASCULAR IMAGING SOLUTIONS LLC
Doing business as
Valley Vein Solutions
Practice address
13660 N 94TH Drive
Suite D-3
Peoria, AZ 85381-4836
Phone
(480) 450-4511
Fax
(602) 960-1414
NPI assigned
Oct 4, 2024
Organization subpart
Yes
Parent organization
VASCULAR IMAGING SOLUTIONS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Thomas Hageman, RVTNPI 1891200143
Title
Owner/Ceo
Phone
(602) 930-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

13660 N 94TH Drive
Suite D-3
Peoria, AZ 85381-4836

Mailing address

13660 N 94TH Drive
Suite D-3
Peoria, AZ 85381-4836
Phone (480) 450-4511

Other names 1

  • Valley Vein Solutions Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vascular Imaging Solutions2 organizations share this tax ID, including this one
Part of
Vascular Imaging Solutions

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1225857501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DRIVE",
            "address_2": "SUITE D-3",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814836",
            "telephone_number": "480-450-4511",
            "fax_number": "602-960-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DRIVE",
            "address_2": "SUITE D-3",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814836",
            "telephone_number": "480-450-4511",
            "fax_number": "602-960-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR IMAGING SOLUTIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VASCULAR IMAGING SOLUTIONS LLC",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "HAGEMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "602-930-1414",
        "authorized_official_credential": "RVT"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Vein Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.