National Vascular Institute, LLC
Clinical Medical Laboratory in Casa Grande, AZ. Organization (NPI-2).
NPI number1861865578
StatusActive
Last updated in NPPESNov 3, 2015
Details
- NPI
- 1861865578
- Entity type
- Organization (NPI-2)
- Legal business name
- National Vascular Institute, LLC
- Organization subpart
- No
- Enumeration date
- Nov 3, 2015
- Last updated
- Nov 3, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
803 N Salk DrCasa Grande, AZ 85122-5447
Phone 602-753-8272
Mailing address
4904 S Power Rd Ste 103-203Mesa, AZ 85212-3633
Phone 602-753-8272
Authorized official
Spencer Brannan
Manager
6027707640
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