MED-CONSULT INC NPI 1710237615

NPI Information

NPI: 1710237615
Provider Name: MED-CONSULT, INC
Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

CLIA Number: 19D2047671

Address:
8575 FERN AVE STE 110
SHREVEPORT, LA
ZIP 71105
Phone: (318) 698-8889
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MED-CONSULT, INC is an infusion therapy clinic center in Shreveport, LA. MED-CONSULT, INC NPI is 1710237615. The provider is registered as an organization entity type.

The provider's business location address is:

8575 FERN AVE STE 110
SHREVEPORT, LA
ZIP 71105-677
Phone: (318) 698-8889
Fax: (318) 698-8893

The provider's authorized official is Gregory Ford Gilbert .
The authorized official title is Attorney and has the following contact phone number (916) 730-3000.

The CLIA number assigned to this NPI record is 19D2047671 - other - diabetic treatment clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2012 and was last updated on 9/18/2012.

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	291U00000X	Clinical Medical Laboratory		C12615	LOUISIANA	No
2	261QI0500X	Clinic/Center	Infusion Therapy	C12615	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

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