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Contact Information

SPENCER VASCULAR DIAGNOSTIC
1600 E JEFFERSON ST
SUITE 500
SEATTLE, WA98122-5698
 Phone: 206-320-4455
 Fax: 206-320-3160
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Specialist

246XC2903X
Indicates primary specialty

NPI Profile & details for SPENCER VASCULAR DIAGNOSTIC

NPI Number 1447498274
LBN Legal business name SPENCER VASCULAR DIAGNOSTIC
Authorized official AJAY ZACHARIAH - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2009
Last updated 02/02/2009 - About 17 years ago
Identifiers
WA License # 206BC0100X
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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