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Organization
VASCULAR SPECIALTY CENTER LAB
Active
Organization
VASCULAR SPECIALTY CENTER LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAOMI D NELSON MHA (COO)
(225) 769-4493
Entity
Organization
Contact information
Practice address
8888 SUMMA AVE FL 3, SUITE B, BATON ROUGE, LA 70809-3720
(225) 769-4266
(225) 819-2976
Mailing address
8888 SUMMA AVE FL 3, SUITE B, BATON ROUGE, LA 70809-3720
(225) 769-4493
(225) 766-3144
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445843
—
LA
01
—
P00875383
RAILROAD MEDICARE
LA
Enumeration date
01/28/2010
Last updated
10/20/2022
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