Healthcare Provider Details

I. General information

NPI: 1891941266
Provider Name (Legal Business Name): VASCULAR ASSESSMENT SPECIALTIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2008
Last Update Date: 08/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 SAINT ROSE PKWY
HENDERSON NV
89052-3839
US

IV. Provider business mailing address

6357 LA PALMA PKWY
LAS VEGAS NV
89118-1407
US

V. Phone/Fax

Practice location:
  • Phone: 702-616-5000
  • Fax: 702-616-5120
Mailing address:
  • Phone: 702-480-8849
  • Fax: 702-876-1431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License NumberRN06173
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberRNO6173
License Number StateNV

VIII. Authorized Official

Name: MRS. JOYCE REBECCA VARHOLA
Title or Position: PRESIDENT
Credential: RN, BA, MSHCA
Phone: 702-480-8849