VASCULAR LAB ASSOCIATES (NPI# 1174611172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174611172 |
| Entity Type | Organization |
| Organization Name | VASCULAR LAB ASSOCIATES |
| Practice Address |
1200 Old York Rd Suite 1200 Abington PA 19001-3720 |
| Mailing Address |
Po Box 447 Ambler PA 19002-0447 |
| Practice Telephone | 2157327600 |
| Mailing Telephone | 2157327600 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-10-22 |
| Authorized Official Name | THEODORE SULLIVAN (PRESIDENT) |
| Authorized Official Telephone | 2157327600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | IBC | 044795000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386796811 | Vascular Lab Associates | Clinic/Center | 1505 Bravo Blvd, Glasgow, KY 42141-3478 | 2007-01-17 |
| Street Address |
1200 OLD YORK RD SUITE 1200 |
| City | ABINGTON |
| State | PA |
| Zip Code | 19001-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942204276 | Peter J Vacca | Specialist | 1200 Old York Rd, Abington, PA 19001-3720 | 2005-06-01 |
| 1669070983 | India Tollini | Registered Nurse | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-10-09 |
| 1831700376 | Alison Ann Hollingsworth | Nurse Practitioner | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-08-10 |
| 1942820725 | Karie Kula | Radiology | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-04-21 |
| 1497374110 | Dean Yehoshua Granot | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3788 | 2020-04-13 |
| 1073132130 | Emma Lilia Galarza Beltran | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3788 | 2020-04-09 |
| 1598384638 | Alan Bui | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-04-09 |
| 1336778620 | Brett Arsenio Johnson | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3788 | 2020-04-07 |
| 1336778786 | Jacqueline Dipietro | Physical Therapist | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-04-07 |
| 1639708787 | Mariya Khan | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831671254 | Mohammed D Assali | Surgery | 1200 Old York Road Department of Surgery/suite 604, Abington, PA 19001 | 2018-09-01 |
| 1851886303 | Child and Family Focus, Inc. | Community/Behavioral Health | 2001 Old Welsh Road, Abington, PA 19001 | 2018-06-27 |
| 1376064394 | Rachel Cockerham | Registered Nurse | 1355 Old York Road, Suite 101, Abington, PA 19001 | 2017-06-29 |
| 1598141715 | Thomas Roarty | Nurse Practitioner | 1369 Old York Road, Abington, PA 19001 | 2015-08-11 |
| 1205249448 | Wendy Lorisme | Social Worker | 2223 Florey Ln Apt E3, Abington, PA 19001 | 2014-06-05 |
| 1417376682 | Nabil Zeineddine | Internal Medicine | 1235 Old York Rd Ste 220, Abington, PA 19001 | 2014-04-15 |
| 1578868782 | Phyllis O. Paul | Family Medicine | 1710 Woodland Rd., Abington, PA 19001 | 2011-01-19 |
| 1659674497 | Gerson S Paul | Obstetrics & Gynecology | 1710 Woodland Road, Abington, PA 19001 | 2010-12-17 |
| 1205145596 | Syreeta Tisha Mctavous | Dentist | 1200 Old York Rd., Arches Building, Abington, PA 19001 | 2010-10-04 |
| 1538481635 | Equipsource | Durable Medical Equipment & Medical Supplies | 1302 Easton Road, Suite 1005, Abington, PA 19001 | 2010-02-17 |
| Find all providers in zip 19001 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346386398 | Surgical Care Specialists Inc | Surgery | 1245 Highland Ave, Suite 600, Abington, PA 19001 | 2007-01-29 |
| 1144216938 | Theodore Robert Sullivan | Surgery | 1245 Highland Ave, Suite 600, Abington, PA 19001-3714 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720630650 | Broad Street Professional Medical Services LLC | Surgery | 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1124670922 | Broad Street Medical LLC | Surgery | 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1932610755 | Vascular Surgical Specialists Pllc | Surgery | 1450 E Boot Rd Ste 600b, West Chester, PA 19380-5968 | 2017-10-19 |
| 1336515956 | Aria Health Physician Services | Surgery | 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 | 2015-08-18 |
| 1437525490 | Advanced Vein and Laser Center Lancaster, LLC | Surgery | 896a Plaza Blvd, Lancaster, PA 17601-2745 | 2015-08-13 |
| 1447658877 | Center for Vein Restoration Pa Pllc | Surgery | 1338 Bristol Pike Ste 205, Bensalem, PA 19020-5679 | 2014-12-17 |
| 1023423167 | Catherine Go | Surgery | 420 S Aiken Ave, Apt A6, Pittsburgh, PA 15232-1226 | 2014-06-27 |
| 1659703635 | Walter J. Fagan | Surgery | 211 Center Ave, Jim Thorpe, PA 18229-1205 | 2013-08-01 |
| 1346521267 | Usa Vein Clinics of Philadelphia LLC | Surgery | 51 Cameron Rd, Huntingdon Valley, PA 19006-1401 | 2011-09-06 |
| 1124314893 | Nathan Loren Liang | Surgery | 200 Lothrop St # A-1017, Pittsburgh, PA 15213-2536 | 2011-06-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.