MGA GASTROINTESTINAL DIAGNOSTIC & THERAPEUTIC CENTER NPI 1578744470

NPI Information

MGA GASTROINTESTINAL DIAGNOSTIC & THERAPEUTIC CENTER is an endoscopy clinic center in New Orleans, LA. MGA GASTROINTESTINAL DIAGNOSTIC & THERAPEUTIC CENTER NPI is 1578744470. The provider is registered as an organization entity type.
The provider Is Doing Business As Mga Gastrointestinal Diagnostic & Therapeutic Center.

The provider's business location address is:

2633 NAPOLEON AVE
SUITE 707
NEW ORLEANS, LA
ZIP 70115-357
Phone: (504) 896-8680
Fax: (504) 896-8699

The provider's authorized official is Christopher A Holden .
The authorized official title is Chief Manager Of Llc and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 19D1033234 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2007 and was last updated on 12/19/2007.

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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