PERIPHERAL VASCULAR, INC. – NPI #1437183670
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Health Care Provider Taxonomy Code for Radiology

PERIPHERAL VASCULAR, INC. is a radiologist located in NEW IBERIA, LA. NPPES has assigned the NPI number 1437183670 to PERIPHERAL VASCULAR, INC. on July 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. PERIPHERAL VASCULAR, INC. is also known by the name VASCULAB. The primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was previously updated about 6 years ago on Aug 22, 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 PERIPHERAL VASCULAR, INC. below.

NPI Profile for
PERIPHERAL VASCULAR, INC.

NPI Number
1437183670
Enumeration Date

(about 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
PERIPHERAL VASCULAR, INC.
Other Name: VASCULAB
Primary location
1100 ANDRE ST STE 101
NEW IBERIA, LA 70563-2159
Phone: (337) 369-9309 Fax: (337) 365-8455
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EDWARD DAUTERIVE
DOCTOR
Phone: (337) 369-9309
Updated
Identifiers

Identifiers for PERIPHERAL VASCULAR, 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
MEDICAIDLA1339334
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
2085R0204X
- Radiology / Vascular & Interventional Radiology (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.