Individual provider · Type 1 NPI

Laurence Shane Grundy, MD

Vascular & Interventional Radiology Physician · El Segundo, CA

NPI number 1649239054 Active

Practice location

2330 Utah Ave Ste 200
El Segundo, CA 90245-4817

Call (281) 766-0959 Map

Mailing address

2700 University Square Drive, Radiology Associates Of Tampa
Tampa, FL 33612-5513

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XME71962 (FL)
Vascular & Interventional Radiology Physician Primary 2085R0204XME71962 (FL)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1649239054

Laurence Shane Grundy, MD's National Provider Identifier is 1649239054, issued on Mar 23, 2006. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in El Segundo, CA. The record was last updated on Feb 18, 2025.