VASCULAR DIAGNOSTIC LAB – NPI #1245454073
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.

VASCULAR DIAGNOSTIC LAB is a physiological laboratory located in LAS CRUCES, NM. NPPES has assigned the NPI number 1245454073 to VASCULAR DIAGNOSTIC LAB on April 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 11 years ago on Dec 31, 2014. 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 VASCULAR DIAGNOSTIC LAB below.

NPI Profile for
VASCULAR DIAGNOSTIC LAB

NPI Number
1245454073
Enumeration Date

(more than 19 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
VASCULAR DIAGNOSTIC LAB
Primary location
3850 FOOTHILLS RD.
#3
LAS CRUCES, NM 88011-8268
Phone: (575) 522-5511 Fax: (575) 522-0825
Mailing address
P.O. BOX 6366
LAS CRUCES, NM 88006-6366
Phone: (575) 522-5511 Fax: (575) 522-0825
Organization Subpart
No
Authorized Official
RITA POLSKY
ADMINISTRATOR
Phone: (575) 635-7145
Updated
Identifiers

Identifiers for VASCULAR DIAGNOSTIC LAB

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
MEDICAIDNM00052597
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)

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.