OrganizationActive
Vascular Laboratory of Santa Rosa, Inc.
NPI 1821202003 · Vascular Sonography Radiologic Technologist · Santa Rosa, CA
Provider details
- NPI number
- 1821202003
- Entity type
- Organization
- Primary specialty
- Vascular Sonography Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Authorized official
- Robert Richardson, Managing Director
- License
- C1090923 (CA)
Practice location
1111 Sonoma Ave Ste 322
Santa Rosa, CA 95405-4820
Phone: (707) 576-1522
Fax: (707) 576-1523
Mailing address
1111 Sonoma Ave Ste 322
Santa Rosa, CA 95405-4820
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.