Provider Demographics
NPI:1922404540
Name:SCOTTSDALE VASCULAR DIAGNOSTICS, PLLC
Entity Type:Organization
Organization Name:SCOTTSDALE VASCULAR DIAGNOSTICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN/BILLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:CROWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-247-8662
Mailing Address - Street 1:7331 E OSBORN RD
Mailing Address - Street 2:SUITE #220
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6450
Mailing Address - Country:US
Mailing Address - Phone:480-247-8662
Mailing Address - Fax:480-947-2494
Practice Address - Street 1:7331 E OSBORN RD
Practice Address - Street 2:SUITE #220
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6450
Practice Address - Country:US
Practice Address - Phone:480-247-8662
Practice Address - Fax:480-947-2494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical