Southern Medical Holding Corporation in Baton Rouge - Sonography
Southern Medical Holding Corporation - NPI 1558340083
Southern Medical Holding Corporation is a Sonography in Baton Rouge, Louisiana. Southern Medical Holding Corporation practices all healthcare services and medical treatments related to Sonography. The NPI Number for Southern Medical Holding Corporation is 1558340083. The last update date is 2013-06-28.
Southern Medical Holding Corporation's current location address is 12133 Industriplex Blvd, Baton Rouge, Louisiana. You can contact this provider via phone number 2257565239 and fax number 2257522614. The mailing address for Southern Medical Holding Corporation is 12133 Industriplex Blvd, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Medical Holding Corporation |
|---|---|
| Address | 12133 Industriplex Blvd, Baton Rouge, Louisiana |
| Phone Number | 2257565239 |
| Fax Number | 2257522614 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO/CFO |
|---|---|
| Authorized Official Name | Melancon P David |
| Credentials | CPA, MBA |
| Telephone Number | 2257565239 |
NPI Number Detail
| NPI Number | 1558340083 |
|---|---|
| Provider Enumeration Date | 2006-01-12 |
| Last Updated Date | 2013-06-28 |
Provider Mailing Address Detail
| Address | 12133 Industriplex Blvd |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708095129 |
| Phone Number | 2257565239 |
| Fax Number | 2257522614 |
Provider's Primary Taxonomy Detail
| Speciality | Sonography |
|---|---|
| Taxonomy | 246Xs1301X |
| Licence No | 170011032 |
|
Definition: Performs diagnostic ultrasound imaging examinations using high-frequency sound waves to visualize soft tissues and body structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1121894 | LA | -- | |
| 506047901 | MO | -- | |
| C3563 | LA | BLUE CROSS PROV.NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Southern Medical Holding Corporation by the Centers for Medicare & Medicaid Services?
The Southern Medical Holding Corporation has been issued the NPI (National Provider Identifier) 1558340083, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Southern Medical Holding Corporation located?
The Southern Medical Holding Corporation is located at 12133 Industriplex Blvd, Baton Rouge, LA 708095129.
What is the Southern Medical Holding Corporation's specialty and taxonomy code?
The Southern Medical Holding Corporation's specialty is Sonography, and the corresponding taxonomy code is 246Xs1301X.
When did Southern Medical Holding Corporation receive its 1558340083 assignment?
The Southern Medical Holding Corporation was assigned its 1558340083 on 2006-01-12, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Southern Medical Holding Corporation, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Southern Medical Holding Corporation, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-06-28.
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