| Organization Name: | VASCULAR SPECIALISTS, LLC |
| NPI Number: | 1164435152 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES WILLIAM TATTERSALL (MEMBER - PRESIDENT) |
| Mailing Address: | 8865 W 400 N Suite 175 Michigan City |
| State: | IN US |
| Postal Code: | 463609222 |
| Phone Number: | 2198772225 |
| Fax Number: | 2198772230 |
| NPI Enumeration Date: | 08/14/2006 |
| NPI Last Update Date: | 11/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0204X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Vascular & Interventional Radiology |
| Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |