Organization · NPI-2

A&A Vascular, PLLC

· Livonia, MI

NPI number1285339408
StatusActive
Last updated in NPPESJul 11, 2023

Details

NPI
1285339408
Entity type
Organization (NPI-2)
Legal business name
A&A Vascular, PLLC
Organization subpart
No
Enumeration date
Apr 5, 2023
Certification date
Jul 11, 2023
Last updated
Jul 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0129X ––Yes
2085R0204X Radiology, Vascular & Interventional Radiology––

Other names

  • Lake State Vein And Vascular (Doing Business As)

Practice location

37504 7 Mile Rd
Livonia, MI 48152-1004

Phone 734-744-4100

Mailing address

37504 7 Mile Rd
Livonia, MI 48152-1004

Phone 734-744-4100

Authorized official

Robin Fox
Credentialing Manager
2485688280

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other providers in Livonia, MI