Vanguard Catheterization Lab

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VANGUARD CATHETERIZATION LAB

Practice address

3401 Davie Blvd
Fort Lauderdale, FL 33312-2758

Phone

(954) 436-6660

NPI assigned

Nov 14, 2019

Organization subpart

No

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

Authorized official

Name

Mian Ahmed Hasan, MD

Title

MD Owner

Phone

(954) 854-6667

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1386289288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD STE 150",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281022",
            "telephone_number": "954-436-6660",
            "fax_number": "954-436-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 DAVIE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122758",
            "telephone_number": "954-436-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD CATHETERIZATION LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "MIAN",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "954-854-6667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Vandenberg
• Anita Renee Vander Heyden, MD
• Robert Vanderleest, MD
• Kristen Vanderlely, M.S., ITDS
• Marjan Vandevar, D.O.
• Vanguard Medical Associates of South Florida PA
• Vanguard Medical Group LLC
• Vanguard Medical Group, LLC
• Vanguard Medical Supply
• Vanguard Plastic Surgery LLC

• Ambulatory Surgical Clinic/Center in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.