Organization Active NPI

Vascular Surgery Non Invasive Lab Inc

  • Physiological Laboratory
  • Rochester, NY
National Provider Identifier
1407823453
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
VASCULAR SURGERY NON INVASIVE LAB INC
Practice address
1445 Portland Ave
Suite 109
Rochester, NY 14621-3036
Phone
(585) 342-4030
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Dr. Kevin J. GearyNPI 1760458517
Title
President
Phone
(585) 342-4030

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

1445 Portland Ave
Suite 109
Rochester, NY 14621-3036

Mailing address

1445 Portland Ave
Suite 109
Rochester, NY 14621-3036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090114000129 NY Part B Supplier - Clinic/Group Practice 2365505518 Receives reassigned benefits from 2 practitioners
Practice locations: Clifton Springs, NY; Batavia, NY; Rochester, NY; Newark, NY; Geneva, NY; Henrietta, NY

National Provider Directory

National Provider Directory

Locations

4 Coulter Rd
Ste D
Clifton Springs, NY 14432
Phone (585) 922-5571

224 Alexander St
Ste 200
Rochester, NY 14607
Phone (585) 922-8400

20 Hagen Dr
#210
Rochester, NY 14625
Phone (585) 922-9174

Practitioners & affiliated clinicians

Practitioners 2

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": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1407823453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 PORTLAND AVE",
            "address_2": "SUITE 109",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 PORTLAND AVE",
            "address_2": "SUITE 109",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213036",
            "telephone_number": "585-342-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SURGERY NON INVASIVE LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "GEARY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-342-4030",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.