ENDOVASCULAR LAB PLLC – NPI #1407482003
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

ENDOVASCULAR LAB PLLC is a surgeon located in ODESSA, TX. NPPES has assigned the NPI number 1407482003 to ENDOVASCULAR LAB PLLC on March 16, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 6 years ago on Aug 14, 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 ENDOVASCULAR LAB PLLC below.

NPI Profile for
ENDOVASCULAR LAB PLLC

NPI Number
1407482003
Enumeration Date

(more than 6 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
ENDOVASCULAR LAB PLLC
Primary location
612 N WASHINGTON AVENUE
SUITE 100
ODESSA, TX 79761
Phone: (432) 770-7211 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES LI
PRESIDENT
Phone: (432) 770-7211
Updated
Certification Date
Aug 14, 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.

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
2086S0129X
- Surgery / Vascular Surgery (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.