Provider Demographics
NPI:1831427897
Name:ASSOCIATES OF VASCULAR & INTERPRETATION, LLC
Entity type:Organization
Organization Name:ASSOCIATES OF VASCULAR & INTERPRETATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN IN VASCULAR INT.
Authorized Official - Prefix:
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:AVILA LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS,RVT,RPVI
Authorized Official - Phone:505-269-2770
Mailing Address - Street 1:3200 CARLISLE BLVD NE
Mailing Address - Street 2:SUITE:116
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-1600
Mailing Address - Country:US
Mailing Address - Phone:505-796-5059
Mailing Address - Fax:
Practice Address - Street 1:3200 CARLISLE BLVD NE
Practice Address - Street 2:SUITE:116
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-1600
Practice Address - Country:US
Practice Address - Phone:505-796-5059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-01
Last Update Date:2012-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile