Provider Demographics
NPI:1891941266
Name:VASCULAR ASSESSMENT SPECIALTIES, INC.
Entity Type:Organization
Organization Name:VASCULAR ASSESSMENT SPECIALTIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:VARHOLA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BA, MSHCA
Authorized Official - Phone:702-480-8849
Mailing Address - Street 1:6357 LA PALMA PKWY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-1407
Mailing Address - Country:US
Mailing Address - Phone:702-480-8849
Mailing Address - Fax:702-876-1431
Practice Address - Street 1:3001 SAINT ROSE PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3839
Practice Address - Country:US
Practice Address - Phone:702-616-5000
Practice Address - Fax:702-616-5120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-17
Last Update Date:2008-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRNO6173282N00000X
NVRN061733140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric