NORTHLAKE CARDIOLOGY DIAGNOSTICS LLC NPI 1568764124

NPI Information

NORTHLAKE CARDIOLOGY DIAGNOSTICS LLC is a specialist in Slidell, LA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHLAKE CARDIOLOGY DIAGNOSTICS LLC NPI is 1568764124. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1150 ROBERT BLVD
SUITE 340
SLIDELL, LA
ZIP 70458-004
Phone: (985) 649-2883
Fax: (985) 649-2953

The provider's authorized official is Madaelil G. Thomas .
The authorized official title is President and has the following contact phone number (985) 649-2883.

The enumeration date for this NPI number is 12/2/2010 and was last updated on 12/2/2010.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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