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TLC MOBILE MEDICAL OF LAFAYETTE INC NPI 1326017153


NPI Information

NPI: 1326017153
Provider Name: TLC MOBILE MEDICAL OF LAFAYETTE, INC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
110 HUGH WALLIS RD
LAFAYETTE, LA
ZIP 70508
Phone: (337) 289-5456
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TLC MOBILE MEDICAL OF LAFAYETTE, INC is a radiology and mobile clinic center in Lafayette, LA. TLC MOBILE MEDICAL OF LAFAYETTE, INC NPI is 1326017153. The provider is registered as an organization entity type.

The provider's business location address is:

110 HUGH WALLIS RD
LAFAYETTE, LA
ZIP 70508-107
Phone: (337) 289-5456
Fax: (337) 289-0119

The provider's authorized official is Brenda S Leblanc .
The authorized official title is Owner and has the following contact phone number (281) 346-0801.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 1/2/2008.


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
1261QR0208XClinic/CenterRadiology, MobileYes

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
119814MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
21373605MEDICAIDLOUISIANA
3630000399OTHERLOUISIANARAILROAD MEDICARE
439511OTHERLOUISIANABLUE CROSS

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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