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NPI Profile for PERIPHERAL VASCULAR INSTITUTE OF PHILADELPHIA LLC in PHILADELPHIA, PA.
A radiologic technologist who specializes in vascular interventional and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of vascular interventional imaging, exam techniques, equipment protocols, radiation safety, and patient care.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular-Interventional Technology Radiologic Technologist |
2471V0106X |
| NPI Number | 1396074480 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/18/2009 | |
| Last updated | 03/24/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PERIPHERAL VASCULAR INSTITUTE OF PHILADELPHIA LLC