CLARK INTEGRATED MEDICAL CLINICS LLC is a general practice in Lafayette, LA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee CLARK INTEGRATED MEDICAL CLINICS LLC NPI is 1124529284. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clark Integrated Medical Clinics.
The provider's business location address is:
130 RUE BEAUREGARD STE A
LAFAYETTE, LA
ZIP 70508-130
Phone: (337) 232-3353
Fax: (337) 232-9304
The provider's authorized official is Jacob Scott Clark .
The authorized official title is Owner and has the following contact phone number (337) 232-3353.
The CLIA number assigned to this NPI record is 19D2163654 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/23/2018 and was last updated on 12/9/2020.