CCHS PERIPHERAL VASCULAR LAB – NPI #1922078476
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

CCHS PERIPHERAL VASCULAR LAB is a radiologist located in NEWARK, DE. NPPES has assigned the NPI number 1922078476 to CCHS PERIPHERAL VASCULAR LAB on January 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CCHS PERIPHERAL VASCULAR LAB” is a dba name, the actual legal business name for this organization is CHRISTIANA CARE HEALTH SERVICES INC. With multiple taxonomy codes selected, 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 4 years ago on Dec 17, 2021. 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 CCHS PERIPHERAL VASCULAR LAB below.

NPI Profile for
CHRISTIANA CARE HEALTH SERVICES INC

NPI Number
1922078476
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
CHRISTIANA CARE HEALTH SERVICES INC
Doing Business As (dba): CCHS PERIPHERAL VASCULAR LAB
Primary location
4745 STANTON OGLETWN RD
NEWARK, DE 19713-2067
Phone: (302) 623-7200 Fax:
Mailing address
PO BOX 2653
WILMINGTON, DE 19805-0653
Phone: (302) 623-7189 Fax: (302) 623-7374
Organization Subpart
Yes - CCHS PERIPHERAL VASCULAR LAB is subpart of another organization.
Authorized Official
ROBERT MCMURRAY
CFO
Phone: (302) 428-2522
Updated
Certification Date
Dec 17, 2021

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 CCHS PERIPHERAL VASCULAR 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
MEDICAIDDE1922078476
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)
2086S0129X
- Surgery / Vascular Surgery

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.