Vascular Lab Associates

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VASCULAR LAB ASSOCIATES

Practice address

1505 Bravo Blvd
Glasgow, KY 42141-3478

Phone

(270) 651-8328

NPI assigned

Jan 17, 2007

Last updated

Jun 27, 2008By 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

Gilman P PetersonNPI 1689637993

Title

MD

Phone

(270) 651-8328

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gilman P. Peterson Jr., M.D.

  • Surgery Physician
  • Glasgow, KY
  • NPI 1689637993
  NPD (past) Authorized official
• Paul Bunn, M.D.

  • Emergency Medicine Physician
  • Scottsville, KY
  • NPI 1649244096
  NPD (past)
• William Patrick Klapheke, MD

  • Surgery Physician
  • Glasgow, KY
  • NPI 1184765620
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1386796811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 694",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421420694",
            "telephone_number": "270-651-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 BRAVO BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413478",
            "telephone_number": "270-651-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR LAB ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "GILMAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "270-651-8328"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64200173",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Urgent Care Services Southeast PSC
• Brenden Scott Van Der Werff, MD
• Vann Healthcare Services Inc (Vann Healthcare Services)
• Vann Homecare Inc
• E P Vann, RPH
• Stefany Vaughn Mack, LPCC-S
• John Paul Vaughn, PT
• Jose Orlando Vazquez-Vicente, D.O.
• Eric Todd Vessels, M.D.
• Michele Grace Vincent, APRN

• Clinic/Center in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.