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Contact Information

EXTREME ENVIRONMENTAL MEDICINE, LLC
180 W ESPLANADE AVE STE 108
KENNER, LA70065-2467
 Phone: 504-464-8686
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for EXTREME ENVIRONMENTAL MEDICINE, LLC

NPI # 1699321703
LBN Legal business name EXTREME ENVIRONMENTAL MEDICINE, LLC
Authorized official MICAH SIEGEL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/14/2019
Last updated 02/19/2026 - About 4 months ago
Identifiers
LA Medicaid 1699321703
NJ Medicaid 1447541941
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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