Organization
GULF COAST VASCULAR LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG MILLER MD (AUTHORIZED OFFICIAL)
(717) 515-4048
Entity
Organization
Contact information
Practice address
1551 OLD SHELL RD, MOBILE, AL 36604-1354
(251) 433-1180
Mailing address
200 N WARNER RD STE 205, KING OF PRUSSIA, PA 19406-2841
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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