GULF COAST VASCULAR LABS LLC – NPI #1164379632
Clinic/Center

GULF COAST VASCULAR LABS LLC is an AHC clinic located in MOBILE, AL. NPPES recently assigned the NPI number 1164379632 to GULF COAST VASCULAR LABS LLC on March 13, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GULF COAST VASCULAR LABS LLC below.

NPI Profile for
GULF COAST VASCULAR LABS LLC

NPI Number
1164379632
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GULF COAST VASCULAR LABS LLC
Primary location
1551 OLD SHELL RD
MOBILE, AL 36604-1354
Phone: (251) 433-1180 Fax:
Mailing address
200 N WARNER RD STE 205
KING OF PRUSSIA, PA 19406-2841
Phone: (610) 644-8900 Fax: (484) 924-0053
Organization Subpart
No
Authorized Official
GREGG MILLER
AUTHORIZED OFFICIAL
Phone: (717) 515-4048
Updated
Certification Date
Mar 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.