Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Perfusion Vascular Vidalia LLC

Organization Vascular Surgery Physician · NPI 1356875637

Perfusion Vascular Vidalia LLC is a Vascular Surgery Physician in Vidalia, Louisiana. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

107 Frnt ST
Vidalia, LA 71373-2836
Phone: (985) 892-7070
Fax: (985) 892-7017
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1356875637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaun Carpenter — Owner · (985) 892-7070
NPI enumeratedApril 13, 2017
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021
Mailing addressPo Box 1089, Hammond, LA 70404