National Provider Identifier Database

PERIPHERAL VASCULAR INSTITUTE OF PHILADELPHIA LLC
Vascular-Interventional Technology Radiologic Technologist

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.


Contact Information

PERIPHERAL VASCULAR INSTITUTE OF PHILADELPHIA LLC
4220 MARKET ST
2ND FLOOR
PHILADELPHIA, PA19104-3007
Phone: 215-382-3680
Fax: 215-382-3683
Website:
Specialty Taxonomy Code
* Vascular-Interventional Technology Radiologic Technologist 2471V0106X

* Indicates primary specialty

NPI Profile & details for PERIPHERAL VASCULAR INSTITUTE OF PHILADELPHIA LLC

NPI Number 1396074480
Legal business name
LBN
PERIPHERAL VASCULAR INSTITUTE OF PHILADELPHIA LLC
Authorized official JAMES MCGUCKIN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 12/18/2009
Last updated 03/24/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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