Provider Demographics
NPI:1417629338
Name:EVA ENDOVASCULAR ACCESS CENTERS OF AMERICA PLLC
Entity Type:Organization
Organization Name:EVA ENDOVASCULAR ACCESS CENTERS OF AMERICA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS ASSOCIATE
Authorized Official - Prefix:
Authorized Official - First Name:HALEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SLIFKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-654-6741
Mailing Address - Street 1:1350 BOYSON RD STE C1
Mailing Address - Street 2:
Mailing Address - City:HIAWATHA
Mailing Address - State:IA
Mailing Address - Zip Code:52233-2211
Mailing Address - Country:US
Mailing Address - Phone:319-654-6741
Mailing Address - Fax:563-279-1591
Practice Address - Street 1:3682 UTICA RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722
Practice Address - Country:US
Practice Address - Phone:563-279-1590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-29
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty