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UPSTATE VASCULAR STUDY LAB, INC
NPI 1194782938
Physiological Laboratory in Rochester, NY

Active since April 26, 2006
2655 RIDGEWAY AVENUE, SUITE # 260, ROCHESTER, NY 14626(585) 720-0818(585) 720-5427 Get Directions Write a Review

NPPES record last updated: February 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Upstate Vascular Study Lab, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPSTATE VASCULAR STUDY LAB, INC (NPI 1194782938), doing business as Upstate Vascular Study Lab, is a healthcare organization registered as a physiological laboratory in Rochester, New York and active in the NPI registry since April 2006. The organization lists Tiffany A. Burgen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1194782938
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameUPSTATE VASCULAR STUDY LAB, INC
Location Address2655 RIDGEWAY AVENUE, SUITE # 260Rochester, NY 14626
Mailing Address2655 Ridgeway Avenue, Suite # 260Rochester, NY 14626 · (585) 720-0818 · Fax (585) 720-5427
Phone(585) 720-0818
Fax(585) 720-5427
Organization SubpartNo
Authorized OfficialTiffany A. BurgenOffice Manager · (585) 720-0818
Enumeration DateApril 26, 2006
Last NPPES UpdateFebruary 6, 2012
✔ NPI 1194782938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
License✔ Licensed in NY · 124377
Definition

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

2655 RIDGEWAY AVENUE, Rochester, NY 14626
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Other Names 1

Former Legal Business NameUpstate Vascular Study Lab

Other Identifiers 2

Medicaid00446135NY
Medicare ID-Type UnspecifiedAA1519NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Upstate Vascular Study Lab, Inc's NPI number?

The NPI number for Upstate Vascular Study Lab, Inc is 1194782938. It was assigned to this organization in the NPPES registry on April 26, 2006. The provider was formerly known as Upstate Vascular Study Lab.

Where is Upstate Vascular Study Lab, Inc located?

Upstate Vascular Study Lab, Inc is located at 2655 Ridgeway Avenue Suite # 260, Rochester, NY 14626. The listed phone number is (585) 720-0818.

What is Upstate Vascular Study Lab, Inc's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Upstate Vascular Study Lab, Inc was last updated on February 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.