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MGA GASTROINTESTINAL DIAGNOSTIC & THERAPEUTIC CENTER NPI 1306862941


NPI Information

NPI: 1306862941
Provider Name: MGA GASTROINTESTINAL DIAGNOSTIC & THERAPEUTIC CENTER

Doing Business As: MGA GASTROINTESTINAL DIAGNOSTIC AND THERAPEUTIC CENTER

Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

Address:
1111 MEDICAL CENTER BLVD
S450
MARRERO, LA
ZIP 70072
Phone: (504) 349-6309
Get Directions

MGA GASTROINTESTINAL DIAGNOSTIC & THERAPEUTIC CENTER is an endoscopy clinic center in Marrero, LA. MGA GASTROINTESTINAL DIAGNOSTIC & THERAPEUTIC CENTER NPI is 1306862941. The provider is registered as an organization entity type.
The provider Is Doing Business As Mga Gastrointestinal Diagnostic And Therapeutic Center.

The provider's business location address is:

1111 MEDICAL CENTER BLVD
S450
MARRERO, LA
ZIP 70072-151
Phone: (504) 349-6309

The provider's authorized official is Christopher A Holden .
The authorized official title is Chief Manager Of Llc and has the following contact phone number (615) 665-1283.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 9/28/2007.


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
1261QE0800XClinic/CenterEndoscopy60LOUISIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11980714MEDICAIDLOUISIANA
211051MEDICARE PIN

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

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.