West Jefferson Ct Scan Llc in Marrero - Physiological Laboratory

West Jefferson Ct Scan Llc - NPI 1013918077

West Jefferson Ct Scan Llc is a Physiological Laboratory in Marrero, Louisiana. West Jefferson Ct Scan Llc practices all healthcare services and medical treatments related to Physiological Laboratory. The NPI Number for West Jefferson Ct Scan Llc is 1013918077. The last update date is 2015-03-18.

West Jefferson Ct Scan Llc's current location address is 4525 Westbank Expy, Marrero, Louisiana. You can contact this provider via phone number 5043496570 and fax number 5043496575. The mailing address for West Jefferson Ct Scan Llc is 4525 Westbank Expy, Marrero, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization West Jefferson Ct Scan Llc
Address 4525 Westbank Expy, Marrero, Louisiana
Phone Number 5043496570
Fax Number 5043496575
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Ross B. Edwin
Credentials MD
Telephone Number 5043917650

NPI Number Detail

NPI Number 1013918077
Provider Enumeration Date 2005-08-02
Last Updated Date 2015-03-18

Provider Mailing Address Detail

Address 4525 Westbank Expy
City Marrero
State Louisiana (LA)
Post Code 700723120
Phone Number 5043496570
Fax Number 5043496575

Provider's Primary Taxonomy Detail

Speciality Physiological Laboratory
Taxonomy 293D00000X
Definition:
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratorie

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1447285 LA --

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FAQs about West Jefferson Ct Scan Llc

What is the unique identifier code issued to West Jefferson Ct Scan Llc by the Centers for Medicare & Medicaid Services (CMS)?

The West Jefferson Ct Scan Llc has been assigned the NPI (National Provider Identifier) 1013918077. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where West Jefferson Ct Scan Llc's facilities are geographically located?

The facilities of West Jefferson Ct Scan Llc are physically situated at the following location: 4525 Westbank Expy, Marrero, LA, 700723120.

What is the area of specialization for West Jefferson Ct Scan Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for West Jefferson Ct Scan Llc is Physiological Laboratory, and the corresponding taxonomy code that categorizes this area of expertise is 293D00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1013918077 to West Jefferson Ct Scan Llc?

The Centers for Medicare & Medicaid Services assigned the 1013918077 to West Jefferson Ct Scan Llc on 2005-08-02.

As of what date was the information regarding West Jefferson Ct Scan Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to West Jefferson Ct Scan Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-03-18.

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