# INDIANA VASCULAR ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lafayette Regional Vein & Laser Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922429141
- **Authorized official:** DR. MARLIN WADE SCHUL MD, MBA, RVT, FACPH (PRESIDENT)
- **Authorized official phone:** (765) 807-2770

## Contact information

- **Practice address:** 3920 ST FRANCIS WAY, SUITE 105, LAFAYETTE, IN 47905-4917
- **Practice address phone:** (765) 807-2770
- **Practice address fax:** (765) 807-0348
- **Mailing address:** 3920 ST FRANCIS WAY, SUITE 105, LAFAYETTE, IN 47905-4917
- **Mailing address phone:** (765) 807-2770
- **Mailing address fax:** (765) 807-0348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | — | IN | Yes |

## Other

- **Enumeration date:** 12/16/2013
- **Last updated:** 12/16/2013