Basic Information
| Provider Information | |||||||||
| NPI: | 1891941266 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VASCULAR ASSESSMENT SPECIALTIES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6357 LA PALMA PKWY | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891181407 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7024808849 | ||||||||
| FaxNumber: | 7028761431 | ||||||||
| Practice Location | |||||||||
| Address1: | 3001 SAINT ROSE PKWY | ||||||||
| Address2: | |||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890523839 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7026165000 | ||||||||
| FaxNumber: | 7026165120 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2008 | ||||||||
| LastUpdateDate: | 08/17/2008 | ||||||||
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| AuthorizedOfficialLastName: | VARHOLA | ||||||||
| AuthorizedOfficialFirstName: | JOYCE | ||||||||
| AuthorizedOfficialMiddleName: | REBECCA | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7024808849 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | RN, BA, MSHCA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3140N1450X | RN06173 | NV | N | Nursing & Custodial Care Facilities | Skilled Nursing Facility | Nursing Care, Pediatric | 282N00000X | RNO6173 | NV | Y | Hospitals | General Acute Care Hospital |
No ID Information.