Endovascular Lab PLLC
NPI 1407482003ActiveOrganization· Surgery, Vascular Surgery· Odessa, TX
Surgery, Vascular Surgery in Odessa, Texas, registered in NPPES in March 2020. The authorized official on file is James Y. Li, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407482003 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 16, 2020 |
| Last updated in NPPES | Aug 14, 2020 |
| Certified by provider | Aug 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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