Scottsdale Vein and Laser Center LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

12521 Issued in AZ

Legal business name

SCOTTSDALE VEIN AND LASER CENTER LLC

Practice address

8600 E Via de Ventura
Suite 103
Scottsdale, AZ 85258-3323

Phone

(480) 483-0409

NPI assigned

Oct 11, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Lundell

Title

Owner

Phone

(480) 483-0208

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1649522848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 E VIA DE VENTURA",
            "address_2": "SUITE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583323",
            "telephone_number": "480-483-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 E VIA DE VENTURA",
            "address_2": "SUITE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583323",
            "telephone_number": "480-483-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE VEIN AND LASER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "LUNDELL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-483-0208",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "12521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scottsdale Unified School District
• Scottsdale Urgent Care LTD
• Scottsdale Urologic Surgeons, LTD
• Scottsdale Vascular Diagnostics, PLLC
• Scottsdale Vein and Cardiology Center LLC
• Scottsdale Vein Center PLLC
• Scottsdale West PDC PLLC
• Scottsdale Women'S Care, P.C.
• Scottsdale Womens Health Specialists PLLC
• Scottsdale Womens Psychology & Consulting PLLC

• Vascular Surgery Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Vascular Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.