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NEUROLOGY & SLEEP CLINIC A PROFESSIONAL MEDICAL CORP NPI 1548313034


NPI Information

NPI: 1548313034
Provider Name: NEUROLOGY & SLEEP CLINIC A PROFESSIONAL MEDICAL CORP
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
2205 E 70TH ST
SHREVEPORT, LA
ZIP 71105
Phone: (318) 797-1585
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NEUROLOGY & SLEEP CLINIC A PROFESSIONAL MEDICAL CORP is a sleep disorder diagnostic clinic center in Shreveport, LA. NEUROLOGY & SLEEP CLINIC A PROFESSIONAL MEDICAL CORP NPI is 1548313034. The provider is registered as an organization entity type.

The provider's business location address is:

2205 E 70TH ST
SHREVEPORT, LA
ZIP 71105-308
Phone: (318) 797-1585
Fax: (318) 797-6077

The provider's authorized official is Nabil A Moufarrej .
The authorized official title is President and has the following contact phone number (318) 797-1585.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 6/8/2010.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2261QS1200XClinic/CenterSleep Disorder DiagnosticYes

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
1=========0OTHERLOUISIANABLUE CROSS PROVIDER NO.
25D289MEDICARE UPINLOUISIANA
3=========OTHERLOUISIANATRICARE

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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