The Vascular Lab LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

38161 Issued in LA

Legal business name

THE VASCULAR LAB LLC

Practice address

7648 Picardy Ave
Suite 100
Baton Rouge, LA 70808-4694

Phone

(225) 819-8299

Fax

(225) 766-3188

NPI assigned

Dec 2, 2005

Organization subpart

No

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

Authorized official

Name

Chris Emory, RVT

Title

Technical Director

Phone

(225) 819-8299

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taylor Scott Gwin, MD, MPH

  • Vascular Surgery Physician
  • Baton Rouge, LA
  • NPI 1093974099
  NPD

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1942284005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7648 PICARDY AVE",
            "address_2": "SUITE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084694",
            "telephone_number": "225-819-8299",
            "fax_number": "225-766-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7648 PICARDY AVE",
            "address_2": "SUITE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084694",
            "telephone_number": "225-819-8299",
            "fax_number": "225-766-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VASCULAR LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "EMORY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "TECHNICAL DIRECTOR",
        "authorized_official_telephone_number": "225-819-8299",
        "authorized_official_credential": "RVT"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "LA",
            "license": "38161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physiological Laboratory in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.