Organization Active NPI

Scottsdale Vein Center PLLC

  • Specialist
  • Scottsdale, AZ
National Provider Identifier
1760715262
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14274 Issued in AZ
Legal business name
SCOTTSDALE VEIN CENTER PLLC
Practice address
8600 E Via de Ventura Ste 103
Scottsdale, AZ 85258-3324
Phone
(480) 483-0208
Fax
(480) 905-8346
NPI assigned
Sep 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Authorized official

Name
Mark W Lundell, M.D.
Title
Owner/President
Phone
(480) 483-0208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 14274 AZ Primary

Addresses

Primary practice location

8600 E Via de Ventura Ste 103
Scottsdale, AZ 85258-3324

Mailing address

8600 E Via de Ventura Ste 103
Scottsdale, AZ 85258-3324
Phone (480) 483-0208

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1760715262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 E VIA DE VENTURA STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583324",
            "telephone_number": "480-483-0208",
            "fax_number": "480-905-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 E VIA DE VENTURA STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583324",
            "telephone_number": "480-483-0208",
            "fax_number": "480-905-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE VEIN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "LUNDELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "480-483-0208",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "14274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.