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ODELL LLC NPI 1205873122


NPI Information

NPI: 1205873122
Provider Name: ODELL LLC

Doing Business As: MESSIAH MEDICAL

Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
1780 E BERT KOUNS LOOP
SUITE 808
SHREVEPORT, LA
ZIP 71105
Phone: (318) 671-5303
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ODELL LLC is a parenteral and enteral nutrition durable medical equipment medical supplies in Shreveport, LA. ODELL LLC NPI is 1205873122. The provider is registered as an organization entity type.
The provider Is Doing Business As Messiah Medical.

The provider's business location address is:

1780 E BERT KOUNS LOOP
SUITE 808
SHREVEPORT, LA
ZIP 71105-560
Phone: (318) 671-5303
Fax: (318) 671-5366

The provider's authorized official is Brian Odell Kelly Odell .
The authorized official title is President and has the following contact phone number (318) 671-5303.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 8/22/2020.


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
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionYes
2332900000XNon-Pharmacy Dispensing SiteX
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesCRT.LT3308LOUISIANAX

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

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