Vascular Laboratory Of Santa Rosa, Inc.

NPI 1821202003 - Radiologic Technologist - 2471V0105X

NPI Details
NPI 1821202003
Enumeration Date 05/09/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT ROBERT
Position MANAGING DIRECTOR
Phone (707) 576-1522
Fax (707) 576-1523
Practice Location
1111 SONOMA AVE STE 322
SANTA ROSA CA, 95405-4820, US
Phone (707) 576-1522
Fax (707) 576-1523
Business Location
1111 SONOMA AVE STE 322
SANTA ROSA CA, 95405-4820, US
Phone (707) 576-1522
Fax (707) 576-1523
Toxanomy
Taxonomy Code 2471V0105X
License State California
License Number C1090923
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According to our database, Vascular Laboratory Of Santa Rosa, Inc. NPI is 1821202003, taxonomy code is 2471V0105X and license number is C1090923, license state is located at California. Vascular Laboratory Of Santa Rosa, Inc. physically located at 1111 Sonoma Ave Ste 322, Santa Rosa CA, 95405-4820. NPI Number 1033115704 has the healthcare provider type.

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1821202003 NPI number is provided on an as is basis without warranty of any kind. 1821202003 is maintained by the National Plan & Provider Enumeration System. The contents of Vascular Laboratory Of Santa Rosa, Inc. are for informational purposes only.