| Organization Name: | VASCULAR IMAGING ASSOCIATES,LLC |
| NPI Number: | 1093907438 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK K BATES (PRESIDENT) |
| Mailing Address: | 10408 Pookey Way Upper Marlboro |
| State: | MD US |
| Postal Code: | 207746043 |
| Phone Number: | 2023689910 |
| Fax Number: | |
| NPI Enumeration Date: | 08/09/2007 |
| NPI Last Update Date: | 04/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471V0105X |
| License Number: | R45875 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Vascular Sonography |
| Taxonomy Definition: | |