NPI 1194782938

Upstate Vascular Study Lab, INC

Organisation Physiological Laboratory Rochester, NY

Practice location

Address: 2655 Ridgeway Avenue Suite # 260, Rochester, NY 14626
Phone: (585) 720-0818
Fax: (585) 720-5427

Authorised official

Name: Tiffany A. Burgen
Title: Office Manager
Phone: (585) 720-0818

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X Licence 124377 (NY)

Other Physiological Laboratory providers in New York →

Registry record

NPI: 1194782938
Entity type: Organization
NPI issued: 26 Apr 2006
Record last updated: 6 Feb 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.