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PEDIATRIC INTENSIVISTS OF LA LLC NPI 1538171327


NPI Information

NPI: 1538171327
Provider Name: PEDIATRIC INTENSIVISTS OF LA, LLC
Classification: Legal Medicine - 173000000X
Entity Type: Organization

CLIA Number: 19D2101830

Address:
7777 HENNESSY BLVD
SUITE 103
BATON ROUGE, LA
ZIP 70808
Phone: (225) 767-6700
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PEDIATRIC INTENSIVISTS OF LA, LLC is a legal medicine in Baton Rouge, LA. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. PEDIATRIC INTENSIVISTS OF LA, LLC NPI is 1538171327. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7777 HENNESSY BLVD
SUITE 103
BATON ROUGE, LA
ZIP 70808-300
Phone: (225) 767-6700
Fax: (225) 767-6721

The provider's authorized official is Michael Sanders Crapanzano .
The authorized official title is Managing Partner and has the following contact phone number (225) 767-6700.

The CLIA number assigned to this NPI record is 19D2101830 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 4/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11444979MEDICAIDLOUISIANA
25CF59MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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