Upstate Vascular Study Lab, Inc

Upstate Vascular Study Lab, Inc is a healthcare organization registered as Physiological Laboratory in Rochester, NY, holding Type 2 (organization) NPI 1194782938 since 2006. The authorized official on file is Tiffany Burgen, Office Manager.

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NPI 1194782938
Entity type Organization (Type 2)
Legal business name Upstate Vascular Study Lab, Inc
Other name <Unavail>
Practice address 2655 RIDGEWAY AVENUE, SUITE # 260, Rochester, NY, 14626
Phone 5857200818
Fax 5857205427
Enumeration date 2006-04-26
Last updated in NPPES 2012-02-06

Authorized official

Name Tiffany Burgen
Title Office Manager
Phone 5857200818

Taxonomy & classification

Taxonomy code Specialty Primary License State
293D00000X Physiological Laboratory Primary 124377 NY

Other identifiers

Identifier Type State Issuer
00446135 Medicaid NY
Copy-ready billing details
Provider: Upstate Vascular Study Lab, Inc
NPI: 1194782938
Taxonomy: 293D00000X (Physiological Laboratory)
Address: 2655 RIDGEWAY AVENUE, SUITE # 260, Rochester, NY, 14626

Verify this record

Cross-check NPI 1194782938 against the authoritative CMS record: view Upstate Vascular Study Lab, Inc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Upstate Vascular Study Lab, Inc located?
The practice location on file with NPPES is in Rochester, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-02-06. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2012-02-06.