| NPI | 1104025972 |
|---|---|
| Doing Business As | VASCULAR LAB |
| Entity Type | Organization |
| Authorized Contact | RAJAI T KHOURY President 304-233-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |