institution
Vascular Laboratory Of Santa Rosa, Inc.
Vascular Sonography Radiologic Technologist in Santa Rosa, California
NPI 1821202003

Vascular Laboratory Of Santa Rosa, Inc. is a Vascular Sonography Radiologic Technologist based in Santa Rosa, CA and is specialized in Vascular Sonography. Vascular Laboratory Of Santa Rosa, Inc. practices in Santa Rosa, CA. The NPI Number for Vascular Laboratory Of Santa Rosa, Inc. is 1821202003 and holds a License No. C1090923 (California).

The current practice location address for Vascular Laboratory Of Santa Rosa, Inc. is 1111 Sonoma Ave Ste 322, Santa Rosa, CA and can be reached out via phone at 707-576-1522 and via fax at 707-576-1523. You can also correspond with Vascular Laboratory Of Santa Rosa, Inc. through the mailing address at 1111 SONOMA AVE STE 322, SANTA ROSA, CA - 95405-4820 (mailing address contact number: 707-576-1522).

Location: 1111 Sonoma Ave Ste 322, Santa Rosa, CA, 95405-4820
institution
Provider Profile Details
NPI Number
1821202003
Provider Name
Vascular Laboratory Of Santa Rosa, Inc.
Credential
Provider Entity Type
Organization
Address
1111 Sonoma Ave Ste 322, Santa Rosa, CA, 95405-4820
Phone Number
707-576-1522
Fax Number
707-576-1523
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0006300 05 CA
institution
Provider Business Practice Location Address Details
Address
1111 Sonoma Ave Ste 322
City
State
Zip
95405-4820
Phone Number
707-576-1522
Fax Number
707-576-1523
person
Provider Business Mailing Address Details
Address
1111 Sonoma Ave Ste 322
City
State
Zip
95405-4820
Phone Number
707-576-1522
Fax Number
707-576-1523
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Vascular Sonography
Taxonomy
License No.
C1090923 (California)
Definition
Definition to come.
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