Vascular Laboratory Of Santa Rosa, INC.
Radiologic Technologist, Vascular Sonography in Santa Rosa, CA. Organization (NPI-2).
NPI number1821202003
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1821202003
- Entity type
- Organization (NPI-2)
- Legal business name
- Vascular Laboratory Of Santa Rosa, INC.
- Organization subpart
- No
- Enumeration date
- May 9, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471V0105X | Radiologic Technologist, Vascular Sonography | C1090923 | CA | Yes |
Practice location
1111 Sonoma Ave Ste 322Santa Rosa, CA 95405-4820
Phone 707-576-1522 · Fax 707-576-1523
Mailing address
1111 Sonoma Ave Ste 322Santa Rosa, CA 95405-4820
Phone 707-576-1522 · Fax 707-576-1523
Authorized official
Robert Richardson
Managing Director
7075452436
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