NPI 1003175563
Genesee Vascular Laboratory, INC.
Practice location
- Address
- 2060 Fairport Nine Mile Point Rd Suite 400, Penfield, NY 14526-1749
- Phone
- (585) 454-6610
- Mailing address
- 919 Westfall Rd STE B100, Rochester, NY 14618-2628
Authorised official
- Name
- Thomas E Penn
- Title
- Owner/Director
- Phone
- (585) 454-6610
Registered specialties
Other Specialist/Technologist
Primary
Registry record
- NPI
- 1003175563
- Entity type
- Organization
- NPI issued
- 3 May 2012
- Record last updated
- 30 Jul 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.