Provider Demographics
NPI:1760749212
Name:VPA PC
Entity Type:Organization
Organization Name:VPA PC
Other - Org Name:VPA DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/AUTHORIZED OFF
Authorized Official - Prefix:
Authorized Official - First Name:ERLINDA
Authorized Official - Middle Name:B
Authorized Official - Last Name:DELPILAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-824-6018
Mailing Address - Street 1:PO BOX 1239
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48099-1239
Mailing Address - Country:US
Mailing Address - Phone:248-824-6600
Mailing Address - Fax:877-473-8164
Practice Address - Street 1:164 PRIMROSE CT
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-6036
Practice Address - Country:US
Practice Address - Phone:720-204-2367
Practice Address - Fax:855-618-6655
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VPA PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-20
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier