UPSTATE VASCULAR STUDY LAB, INC – NPI #1194782938
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.

UPSTATE VASCULAR STUDY LAB, INC is a physiological laboratory located in ROCHESTER, NY. NPPES has assigned the NPI number 1194782938 to UPSTATE VASCULAR STUDY LAB, INC on April 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is UPSTATE VASCULAR STUDY LAB. The primary taxonomy selected by this provider is 293D00000X from the Health Care Provider Taxonomy code set, which is classified as Physiological Laboratory.

The NPI profile was previously updated about 14 years ago on Feb 06, 2012. 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 UPSTATE VASCULAR STUDY LAB, INC below.

NPI Profile for
UPSTATE VASCULAR STUDY LAB, INC

NPI Number
1194782938
Enumeration Date

(more than 20 years 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
UPSTATE VASCULAR STUDY LAB, INC
Former Legal Business Name: UPSTATE VASCULAR STUDY LAB
Primary location
2655 RIDGEWAY AVENUE
SUITE # 260
ROCHESTER, NY 14626
Phone: (585) 720-0818 Fax: (585) 720-5427
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TIFFANY BURGEN
OFFICE MANAGER
Phone: (585) 720-0818
Updated
Identifiers

Identifiers for UPSTATE VASCULAR STUDY LAB, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY00446135
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
293D00000X
- Physiological Laboratory (Primary)
NY 124377

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.