Provider Demographics
NPI:1891004891
Name:VASCULAR TECHNOLOGY, LLC
Entity Type:Organization
Organization Name:VASCULAR TECHNOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-883-2445
Mailing Address - Street 1:8150 S AKRON ST
Mailing Address - Street 2:#405
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3507
Mailing Address - Country:US
Mailing Address - Phone:720-633-9089
Mailing Address - Fax:
Practice Address - Street 1:8150 S AKRON ST
Practice Address - Street 2:#405
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3507
Practice Address - Country:US
Practice Address - Phone:720-633-9089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-25
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies