Vintage Lithotripsy, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VINTAGE LITHOTRIPSY, LLC

Practice address

5150 Broadway St
San Antonio, TX 32304-5710

Phone

(520) 323-8732

Fax

(520) 547-1865

NPI assigned

May 8, 2017

Organization subpart

No

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

Authorized official

Name

Lacey Dinh

Title

Revenue Cycle Manager

Phone

(520) 323-8732

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1689100893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 E SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101147",
            "telephone_number": "520-323-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 BROADWAY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "323045710",
            "telephone_number": "520-323-8732",
            "fax_number": "520-547-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE LITHOTRIPSY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "520-323-8732"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lynn Vines, MHS, RRT
• Kayla Vinh
• Danny Vining, PMHNP
• Veena Vinod
• Steven Morris Vinson, P.T.
• Patricia Vinton, OTR
• Sandhya Vinu Nair, M.D.
• Patrick G Vinyard, MD
• Vip Activity Center
• Sudsawat Viphusiri, REGISTERED NURSE

• Ambulatory Surgical Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.