Provider Demographics
NPI:1548330673
Name:VASCULAR LABORATORY CONSULTANTS LLC
Entity type:Organization
Organization Name:VASCULAR LABORATORY CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:W
Authorized Official - Last Name:KLAMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-897-0635
Mailing Address - Street 1:3991 DUTCHMANS LN
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4700
Mailing Address - Country:US
Mailing Address - Phone:502-897-0635
Mailing Address - Fax:502-895-3219
Practice Address - Street 1:3991 DUTCHMANS LN
Practice Address - Street 2:SUITE 103
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4700
Practice Address - Country:US
Practice Address - Phone:502-897-0635
Practice Address - Fax:502-895-3219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty