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VASCULAR SPECIALISTS OF INDIANA LLC
NPI 1841915527
Surgery - Vascular Surgery in Munster, IN

Active since October 05, 2022CLIA 14D2107989 · Waiver
1928 45TH ST, MUNSTER, IN 46321(815) 824-4406 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vascular Specialists Of Indiana Llc NPPES

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

VASCULAR SPECIALISTS OF INDIANA LLC (NPI 1841915527) is a healthcare organization registered as a vascular surgery in Munster, Indiana and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through January 25, 2028 and lists Eugene Tanquilut, President, as its authorized official.

NPPES Registry Identity

NPI1841915527
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameVASCULAR SPECIALISTS OF INDIANA LLC
Location Address1928 45TH STMunster, IN 46321-3917
Mailing Address8505 183rd St Ste ATinley Park, IL 60487-9354 · (815) 824-4406
Phone(815) 824-4406
Organization SubpartNo
Authorized OfficialEugene TanquilutPresident · (708) 305-0248
Enumeration DateOctober 5, 2022
NPPES CertifiedOctober 5, 2022
✔ NPI 1841915527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

1928 45TH ST, Munster, IN 46321
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2107989

Vascular Specialists · Tinley Park, IL
Active · expires Jan 25, 2028
CLIA Number14D2107989
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorEugene M. Tanquilut Do
Laboratory Phone(815) 824-4406
Laboratory LocationVascular Specialists8505 183rd St - Ste A, Tinley Park, IL 60487
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STREAM CLINICS, LLC
Radiology (Vascular & Interventional Radiology)
1928 45TH ST
MUNSTER, IN 46321
Lake County (219) 476-7246
TYLER GRESS DC
Chiropractor
1928 45TH ST
MUNSTER, IN 46321
Lake County (219) 476-7246
PRINCIPAL ANESTHESIA LLC
Anesthesiology
1928 45TH ST
MUNSTER, IN 46321
Lake County (219) 476-7246
CENTERS FOR PAIN CONTROL, INC
Pain Medicine (Pain Medicine)
1928 45TH ST
MUNSTER, IN 46321
Lake County (219) 476-7246
TAWANDA LEFLORE
Nurse Practitioner (Family)
1928 45TH ST
MUNSTER, IN 46321
Lake County (219) 476-7246

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 Vascular Specialists Of Indiana LLC's NPI number?

The NPI number for Vascular Specialists Of Indiana LLC is 1841915527. It was assigned to this organization in the NPPES registry on October 5, 2022.

Where is Vascular Specialists Of Indiana LLC located?

Vascular Specialists Of Indiana LLC is located at 1928 45th St, Munster, IN 46321. The listed phone number is (815) 824-4406.

What is Vascular Specialists Of Indiana LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Does Vascular Specialists Of Indiana LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2107989) is associated with this NPI, valid through January 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vascular Specialists Of Indiana LLC was last updated on October 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.