VITAL HEART AND VEIN CATH LAB – NPI #1104329440
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

VITAL HEART AND VEIN CATH LAB is a provider located in HUMBLE, TX. NPPES has assigned the NPI number 1104329440 to VITAL HEART AND VEIN CATH LAB on March 13, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VITAL HEART AND VEIN CATH LAB” is a dba name, the actual legal business name for this organization is DEERBROOK CATH LAB LLC. The primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was previously updated about 6 years ago on Jan 09, 2020. 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 VITAL HEART AND VEIN CATH LAB below.

NPI Profile for
DEERBROOK CATH LAB LLC

NPI Number
1104329440
Enumeration Date

(more than 8 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
DEERBROOK CATH LAB LLC
Doing Business As (dba): VITAL HEART AND VEIN CATH LAB
Primary location
18450 HWY 59 SUITE 101
HUMBLE, TX 77338
Phone: (281) 446-6656 Fax: (281) 446-6657
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RICKY GANIM
CO-OWNER
Phone: (281) 446-6656
Updated
Certification Date
Jan 09, 2020

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.

Identifiers

Identifiers for VITAL HEART AND VEIN CATH 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
OTHERMEDICARETX663151
MEDICAIDTX388654101
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
207RI0011X
- Internal Medicine / Interventional Cardiology (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.