National Provider Identifier Database

VASCULAR DIAGNOSTIC LAB
Physiological Laboratory, (Independent Physiological Lab)

A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.


Contact Information

VASCULAR DIAGNOSTIC LAB
3850 FOOTHILLS RD.
#3
LAS CRUCES, NM88011-8268
Phone: 575-522-5511
Fax: 575-522-0825
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for VASCULAR DIAGNOSTIC LAB

NPI Number 1245454073
Legal business name
LBN
VASCULAR DIAGNOSTIC LAB
Authorized official RITA POLSKY - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 04/12/2007
Last updated 12/31/2014 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NM Medicaid: 00052597

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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