Organization Active NPI

US Vascular Access Center of Dallas,LLC

Doing business as Vascular Access Center of Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1386679413
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
007187 Issued in TX
Legal business name
US VASCULAR ACCESS CENTER OF DALLAS,LLC
Doing business as
Vascular Access Center of Dallas
Practice address
3604 Live Oak St
Suite 300
Dallas, TX 75204-6168
Phone
(214) 826-4224
Fax
(214) 826-6442
NPI assigned
Jul 11, 2006
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
Mr. Michael Perry
Title
V.P./G.M.
Phone
(407) 661-5766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 007187 TX Primary

Addresses

Primary practice location

3604 Live Oak St
Suite 300
Dallas, TX 75204-6168

Mailing address

3604 Live Oak St
Suite 300
Dallas, TX 75204-6168
Phone (214) 826-4224

Other names 1

  • Vascular Access Center of Dallas Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1106913Dna Vascular Center3604 Live Oak Street, Suite 300, Dallas, TX 75204Certificate of waiverOct 22, 2027

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386679413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 LIVE OAK ST",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046168",
            "telephone_number": "214-826-4224",
            "fax_number": "214-826-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 LIVE OAK ST",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046168",
            "telephone_number": "214-826-4224",
            "fax_number": "214-826-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US VASCULAR ACCESS CENTER OF DALLAS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "V.P./G.M.",
        "authorized_official_telephone_number": "407-661-5766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "007187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vascular Access Center of Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.