IMMUNIZATION SERVICES OF LOUISIANA LLC NPI 1407120785

NPI Information

NPI: 1407120785
Provider Name: IMMUNIZATION SERVICES OF LOUISIANA, LLC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
1608 DIVISION ST
METAIRIE, LA
ZIP 70001
Phone: (504) 430-3397
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IMMUNIZATION SERVICES OF LOUISIANA, LLC is a community health clinic center in Metairie, LA. IMMUNIZATION SERVICES OF LOUISIANA, LLC NPI is 1407120785. The provider is registered as an organization entity type.

The provider's business location address is:

1608 DIVISION ST
METAIRIE, LA
ZIP 70001-712
Phone: (504) 430-3397
Fax: (504) 828-7640

The provider's authorized official is Gregory Gerard Hedrick .
The authorized official title is Owner and has the following contact phone number (504) 430-3397.

The enumeration date for this NPI number is 3/3/2012 and was last updated on 3/12/2012.

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
1	261QC1500X	Clinic/Center	Community Health	17258	LOUISIANA	Yes

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

NPI Synchronization or Removal

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