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EXCELTH INCORPORATED NPI 1205275492


NPI Information

NPI: 1205275492
Provider Name: EXCELTH, INCORPORATED
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 19D0981712

Address:
9900 LAKE FOREST BLVD
SUITE F
NEW ORLEANS, LA
ZIP 70127
Phone: (504) 524-1210
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EXCELTH, INCORPORATED is a general practice in New Orleans, 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 EXCELTH, INCORPORATED NPI is 1205275492. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9900 LAKE FOREST BLVD
SUITE F
NEW ORLEANS, LA
ZIP 70127-609
Phone: (504) 524-1210
Fax: (504) 524-1491

The provider's authorized official is Byron Tregre .
The authorized official title is Cfo and has the following contact phone number (504) 524-1210.

The CLIA number assigned to this NPI record is 19D0981712 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/20/2013 and was last updated on 6/20/2013.


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
1208D00000XGeneral PracticeYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.