Active NPI
Valley Vascular Access Center, LLC
- Clinic/Center
- Huntsville, AL
National Provider Identifier
1659905610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- VALLEY VASCULAR ACCESS CENTER, LLC
- Practice address
- 4700 Whitesburg Dr SW Ste 300
Huntsville, AL 35802-1685 - Phone
- (804) 655-6150
- NPI assigned
- Feb 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Domenick Ronga
- Title
- Administrator
- Phone
- (804) 655-6150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
4700 Whitesburg Dr SW Ste 300
Huntsville, AL 35802-1685
Mailing address
8730 Stony Point Pkwy Ste 175
Richmond, VA 23235-1952
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652918400000",
"number": "1659905610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8730 STONY POINT PKWY STE 175",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232351952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 WHITESBURG DR SW STE 300",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358021685",
"telephone_number": "804-655-6150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY VASCULAR ACCESS CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-28",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A",
"authorized_official_last_name": "RONGA",
"authorized_official_first_name": "DOMENICK",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "804-655-6150"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.