MEDICARE: VASCULAR CONSULTANTS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2471V0105X	Vascular Sonography Radiologic Technologist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CB5271	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326008061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VASCULAR CONSULTANTS INC

Provider Business Mailing Address
First Line	:	7225 OLD OAK BLVD
Second Line	:	STE B306
City	:	CLEVELAND
State	:	OH
Zip	:	44130-3339
Country	:	US
Telephone Number	:	440-816-5783
Fax Number	:	440-816-4069

Provider Business Practice Location Address
First Line	:	7225 OLD OAK BLVD
Second Line	:	STE B306
City	:	CLEVELAND
State	:	OH
Zip	:	44130-3339
Country	:	US
Telephone Number	:	440-816-5783
Fax Number	:	440-816-4069

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MARTHA ZISKA
Credential	:
Telephone Number	:	440-816-5488

Provider Enumeration Date	:	03/25/2006
Last Update Date	:	10/13/2011

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Directions to “VASCULAR CONSULTANTS INC ” Practice Location

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