Center for Vein Restoration Az LLC
NPI 1215411970ActiveOrganization· Surgery· Mesa, AZ
Surgery in Mesa, Arizona, registered in NPPES in September 2018. The authorized official on file is Lorena Thomas, Credentialing Manager. Enrolled in Medicare as dme supplier - physician - emergency medicine and part b supplier - clinic/group practice.
Overview
| NPI | 1215411970 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2018 |
| Last updated in NPPES | Apr 30, 2024 |
| Certified by provider | Apr 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Emergency Medicine (AZ); Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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