| NPI | 1528537578 |
|---|---|
| Former Legal Business Name | AORTAMD LLC |
| Entity Type | Organization |
| Authorized Contact | THOMAS PAUL VACEK Md 502-271-0423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |