Vascular Specialty Center Lab

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

VASCULAR SPECIALTY CENTER LAB

Practice address

8888 Summa Ave FL 3
Suite B
Baton Rouge, LA 70809-3720

Phone

(225) 769-4266

Fax

(225) 819-2976

NPI assigned

Jan 28, 2010

Last updated

Oct 20, 2022By 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

Mrs. Naomi D Nelson, MHA

Title

Coo

Phone

(225) 769-4493

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1376874594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8888 SUMMA AVE FL 3",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093720",
            "telephone_number": "225-769-4493",
            "fax_number": "225-766-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8888 SUMMA AVE FL 3",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093720",
            "telephone_number": "225-769-4266",
            "fax_number": "225-819-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SPECIALTY CENTER LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "225-769-4493",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00875383",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445843",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Vascocu, PT
• Vascular and Endovascular Specialists, LLC
• Vascular Associates Laboratory
• Vascular Specialty Associates
• Vascular Specialty Center Lab
• Vascular Specialty Center LLC
• Vascular Specialty Center LLC
• Vasocare LLC
• Richard Robert Vath, MD
• Sundararama Raju Vatsavai, MD

• Physiological Laboratory in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physiological Laboratory in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.