| Organization Name: | HEART & VASCULAR INSTITUTE, LLC |
| NPI Number: | 1184962599 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VISHAL LAL (CEO) |
| Mailing Address: | 1611 Silvernail Rd Pewaukee |
| State: | WI US |
| Postal Code: | 530725519 |
| Phone Number: | 2629532701 |
| Fax Number: | 2629532705 |
| NPI Enumeration Date: | 01/18/2013 |
| NPI Last Update Date: | 03/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |