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METAIRIE TOTAL WELLNESS CLINIC LLC NPI 1356830251


NPI Information

NPI: 1356830251
Provider Name: METAIRIE TOTAL WELLNESS CLINIC, LLC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

CLIA Number: 19D2201502

Address:
1813 VETERANS MEMORIAL BLVD STE B
METAIRIE, LA
ZIP 70005
Phone: (800) 246-5698
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METAIRIE TOTAL WELLNESS CLINIC, LLC is an adult medicine family medicine in Metairie, LA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. METAIRIE TOTAL WELLNESS CLINIC, LLC NPI is 1356830251. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1813 VETERANS MEMORIAL BLVD STE B
METAIRIE, LA
ZIP 70005-637
Phone: (800) 246-5698

The provider's authorized official is Salvatore Campo .
The authorized official title is Do / Physician and has the following contact phone number (214) 714-5343.

The CLIA number assigned to this NPI record is 19D2201502 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2018 and was last updated on 5/7/2018.


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
1207Q00000XFamily MedicineNo
2207QA0505XFamily MedicineAdult MedicineYes

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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