Vascular Diagnostic Laboratory

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VASCULAR DIAGNOSTIC LABORATORY

Practice address

6565 Fannin
F922
Houston, TX 77030-2707

Phone

(713) 978-8651

Fax

(713) 798-8252

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Charles Holmes McCollum, MD

Title

Co Director

Phone

(713) 798-8651

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1598727331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772160100",
            "telephone_number": "713-798-8651",
            "fax_number": "713-798-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FANNIN",
            "address_2": "F922",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302707",
            "telephone_number": "713-978-8651",
            "fax_number": "713-798-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR DIAGNOSTIC LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "HOLMES",
        "authorized_official_title_or_position": "CO DIRECTOR",
        "authorized_official_telephone_number": "713-798-8651",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vascore Pharmacy LLC
• Vascular Access Center of Houston LLC
• Vascular Access Centers
• Vascular and Interventional Radiology of America
• Vascular Anesthesia Associates PLLC
• Vascular Institute of Houston PLLC
• Vascular Physician Assistants of Houston PA
• Soroush Vaseghi, DDS
• Chandni Vashee, MD
• Reena Anil Vashi, M.D.

• Vascular Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.