Organization Active NPI

Vascular Specialists of Mobile, P.C.

  • Ph.D. Medical Genetics
  • Mobile, AL
National Provider Identifier
1902826118
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
2086S0129X Issued in AL
Legal business name
VASCULAR SPECIALISTS OF MOBILE, P.C.
Practice address
171 Mobile Infirmary Blvd
Mobile, AL 36607-3509
Phone
(251) 432-0558
Fax
(251) 432-0554
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Deon Lartigue, CMM, CPC
Title
Practice Manager
Phone
(251) 432-0558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193400000X SINGLE SPECIALTY GROUP 170100000X 2086S0129X AL Primary

Addresses

Primary practice location

171 Mobile Infirmary Blvd
Mobile, AL 36607-3509

Mailing address

171 Mobile Infirmary Blvd
Mobile, AL 36607-3509
Phone (251) 432-0558

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902826118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MOBILE INFIRMARY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073509",
            "telephone_number": "251-432-0558",
            "fax_number": "251-432-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 MOBILE INFIRMARY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073509",
            "telephone_number": "251-432-0558",
            "fax_number": "251-432-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SPECIALISTS OF MOBILE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARTIGUE",
        "authorized_official_first_name": "DEON",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "251-432-0558",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMM, CPC"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "AL",
            "license": "2086S0129X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.