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WYOMING HEART AND VASCULAR CENTER LLC
NPI 1932889482
Internal Medicine - Cardiovascular Disease in Rock Springs, WY

Active since July 20, 2023CLIA 53D2295746 · Waiver
1204 HILLTOP DR STE 106, ROCK SPRINGS, WY 82901(307) 522-5555(888) 819-5155 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wyoming Heart And Vascular Center Llc NPPES

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

WYOMING HEART AND VASCULAR CENTER LLC (NPI 1932889482) is a healthcare organization registered as a cardiovascular disease in Rock Springs, Wyoming and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through December 14, 2027 and lists Mansour Khaddr, Cardiologist/managing Member, as its authorized official.

NPPES Registry Identity

NPI1932889482
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameWYOMING HEART AND VASCULAR CENTER LLC
Location Address1204 HILLTOP DR STE 106Rock Springs, WY 82901-5861
Mailing Address1204 Hilltop Dr Ste 106Rock Springs, WY 82901-5861 · (307) 522-5555 · Fax (888) 819-5155
Phone(307) 522-5555
Fax(888) 819-5155
Organization SubpartNo
Authorized OfficialMansour KhaddrCardiologist/managing Member · (412) 626-0143
Enumeration DateJuly 20, 2023
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1932889482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1204 HILLTOP DR STE 106, Rock Springs, WY 82901
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

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 53D2295746

Wyoming Heart And Vascular Center · Rock Springs, WY
Active · expires Dec 14, 2027
CLIA Number53D2295746
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorMansour E. Khaddr
Laboratory Phone(412) 626-0143
Laboratory LocationWyoming Heart And Vascular Center1204 Hilltop Dr, Suite 106, Rock Springs, WY 82901
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 2

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

MANSOUR ELTAHER KHADDR M.D.
Internal Medicine (Cardiovascular Disease)
1204 HILLTOP DR STE 106
ROCK SPRINGS, WY 82901
Sweetwater County (307) 522-5555
KARLI DECORA PIAIA
Nurse Practitioner (Family)
1204 HILLTOP DR STE 106
ROCK SPRINGS, WY 82901
Sweetwater County (307) 522-5555

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 Wyoming Heart And Vascular Center LLC's NPI number?

The NPI number for Wyoming Heart And Vascular Center LLC is 1932889482. It was assigned to this organization in the NPPES registry on July 20, 2023.

Where is Wyoming Heart And Vascular Center LLC located?

Wyoming Heart And Vascular Center LLC is located at 1204 Hilltop Dr Ste 106, Rock Springs, WY 82901. The listed phone number is (307) 522-5555.

What is Wyoming Heart And Vascular Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Wyoming Heart And Vascular Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2295746) is associated with this NPI, valid through December 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wyoming Heart And Vascular Center LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Wyoming Heart And Vascular Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wyoming Heart And Vascular Center LLC was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.