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EAST JEFFERSON PHYSICIANS GROUP URGENT CARE NPI 1053859082


NPI Information

NPI: 1053859082
Provider Name: EAST JEFFERSON PHYSICIANS GROUP URGENT CARE
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 19D0920560

Address:
708 W ESPLANADE AVE
KENNER, LA
ZIP 70065
Phone: (504) 503-5100
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EAST JEFFERSON PHYSICIANS GROUP URGENT CARE is an urgent care clinic center in Kenner, LA. EAST JEFFERSON PHYSICIANS GROUP URGENT CARE NPI is 1053859082. The provider is registered as an organization entity type.

The provider's business location address is:

708 W ESPLANADE AVE
KENNER, LA
ZIP 70065-736
Phone: (504) 503-5100

The provider's authorized official is Robert Riley .
The authorized official title is Interim Chief Financial Officer and has the following contact phone number (504) 503-6409.

The CLIA number assigned to this NPI record is 19D0920560 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/9/2017 and was last updated on 2/9/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

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: 5/5/2024

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