VASCULAR DIAGNOSTIC LAB (NPI# 1245454073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245454073 |
| Entity Type | Organization |
| Organization Name | VASCULAR DIAGNOSTIC LAB |
| Practice Address |
3850 Foothills Rd. #3 Las Cruces NM 88011-8268 |
| Mailing Address |
P.o. Box 6366 Las Cruces NM 88006-6366 |
| Practice Telephone | 5755225511 |
| Practice Fax Number | 5755220825 |
| Mailing Telephone | 5755225511 |
| Mailing Fax Number | 5755220825 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2014-12-31 |
| Authorized Official Name | MRS. RITA POLSKY (ADMINISTRATOR) |
| Authorized Official Telephone | 5756357145 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 00052597 | 05 |
| Street Address |
3850 FOOTHILLS RD. #3 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| 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. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750862785 | Advanced Vascular Testing, LLC | Physiological Laboratory | 3850 E Lohman Ave Ste C, Las Cruces, NM 88011 | 2018-08-28 |
| 1356734974 | Southwest Ultrasound Services LLC | Physiological Laboratory | 3865 E Lohman Ave Ste 4, Las Cruces, NM 88011-8292 | 2015-03-05 |
| 1588904361 | Cmv Vascular Services | Physiological Laboratory | 3850 Foothills Rd, Suite 3, Las Cruces, NM 88011-4632 | 2013-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326605775 | High Desert Doppler Inc. | Physiological Laboratory | 3825 Eubank Blvd Ne Ste H, Albuquerque, NM 87111-3559 | 2019-05-21 |
| 1063421089 | Innerface Imaging LLC | Physiological Laboratory | 8400 Osuna Blvd Ne, Suite 5c, Albuquerque, NM 87111 | 2006-08-07 |
| 1104237981 | Eberhart Sleep Diagnostics Inc | Physiological Laboratory | 3751 N Butler Ave, Suite 105, Farmington, NM 87401-6425 | 2014-05-14 |
| 1407195233 | Family Practice Associates of Taos | Physiological Laboratory | 630 Paseo Del Pueblo Sur Ste 150, Taos, NM 87571-7002 | 2013-02-14 |
| 1952585184 | Brazos Valley Cardio Respiratory | Physiological Laboratory | 141-a Mescalero Tr., Ruidoso, NM 88345 | 2007-12-24 |
| City | LAS CRUCES |
| Zip Code | 88011 |
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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.