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Contact Information

ADVANCED VEIN INSTITUTE OF ARIZONA, LLC
2155 E CONFERENCE DR STE 101
TEMPE, AZ85284-2604
 Phone: 480-454-5562
 Fax: 480-868-2272
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for ADVANCED VEIN INSTITUTE OF ARIZONA, LLC

NPI # 1588029672
LBN Legal business name ADVANCED VEIN INSTITUTE OF ARIZONA, LLC
Authorized official JASON BABCOCK - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/16/2015
Last updated 01/17/2023 - About 3 years ago
Identifiers
AZ License # 17760
AZ Medicaid 104597
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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