Ambrose Carroll Thibodeaux in Opelousas - Medical Technologist

Ambrose Carroll Thibodeaux - NPI 1538342431

Ambrose Carroll Thibodeaux is a Medical Technologist in Opelousas, Louisiana. Ambrose Carroll Thibodeaux practices all healthcare services and medical treatments related to Medical Technologist. The NPI Number for Ambrose Carroll Thibodeaux is 1538342431. The last update date is 2007-12-13.

Ambrose Carroll Thibodeaux's current location address is 1015 Choctaw Dr, Opelousas, Louisiana. You can contact this provider via phone number 3379346453. The mailing address for Ambrose Carroll Thibodeaux is 1015 Choctaw Dr, Opelousas, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Ambrose Carroll Thibodeaux
Address 1015 Choctaw Dr, Opelousas, Louisiana
Phone Number 3379346453
Fax Number
Sole Proprietor Y
Credentials MT

NPI Number Detail

NPI Number 1538342431
Provider Enumeration Date 2007-12-13
Last Updated Date 2007-12-13

Provider Mailing Address Detail

Address 1015 Choctaw Dr
City Opelousas
State Louisiana (LA)
Post Code 705706567
Phone Number 3379346453
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical Technologist
Taxonomy 246Qm0706X
Licence No CLP.G02111-G
Definition:
Performs complex lab tests that analyze body fluids, cells and substances to detect abnormalities and support diagnosis.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1499 MT BRD CLIN LAB SCIEN PRACT
19554TCL-0 NE BUR OF LIC & CERT.
CLP.G02111-GEN LA ST BRD MEDICAL EXAMINES

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FAQs about Ambrose Carroll Thibodeaux

What is the Ambrose Carroll Thibodeaux's 1538342431?

The Ambrose Carroll Thibodeaux's NPI (National Provider Identifier) Number is 1538342431. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Ambrose Carroll Thibodeaux's physical address?

The Ambrose Carroll Thibodeaux is physically located at 1015 Choctaw Dr, in the city of Opelousas, LA, with the postal code 705706567.

What is Ambrose Carroll Thibodeaux's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ambrose Carroll Thibodeaux is Medical Technologist, and the corresponding taxonomy classification code for this specialized field is 246Qm0706X.

On what date did the Centers for Medicare & Medicaid Services assign the 1538342431 to Ambrose Carroll Thibodeaux?

The Centers for Medicare & Medicaid Services assigned the 1538342431 to Ambrose Carroll Thibodeaux on 2007-12-13.

As of what date was the information pertaining to Ambrose Carroll Thibodeaux, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Ambrose Carroll Thibodeaux, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-13.

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