| Vascular Lab Associates | |
|
1505 Bravo Blvd Glasgow KY 42141-3478 | |
| (270) 651-8328 | |
| Not Available |
| Full Name | Vascular Lab Associates |
|---|---|
| Speciality | Clinic/center |
| Location | 1505 Bravo Blvd, Glasgow, Kentucky |
| Authorized Official Name and Position | Gilman P Peterson (MD) |
| Authorized Official Contact | 2706518328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vascular Lab Associates Po Box 694 Glasgow KY 42142-0694 Ph: (270) 651-8328 | Vascular Lab Associates 1505 Bravo Blvd Glasgow KY 42141-3478 Ph: (270) 651-8328 |
| NPI Number | 1386796811 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386796811 | NPI | - | NPPES |
| 64200173 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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