National Vascular Institute, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NATIONAL VASCULAR INSTITUTE, LLC

Practice address

803 N Salk Dr
Casa Grande, AZ 85122-5447

Phone

(602) 753-8272

NPI assigned

Nov 3, 2015

Organization subpart

No

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

Authorized official

Name

Spencer Brannan

Title

Manager

Phone

(602) 770-7640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1861865578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 S POWER RD STE 103-203",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123633",
            "telephone_number": "602-753-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N SALK DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225447",
            "telephone_number": "602-753-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL VASCULAR INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "BRANNAN",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-770-7640"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.