National Provider Identifier Database

ARKLATEX FERTILITY AND REPRODUCTIVE MEDICINE
Ambulatory Fertility Facility

A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)


Contact Information

ARKLATEX FERTILITY AND REPRODUCTIVE MEDICINE
2401 GREENWOOD RD
SUITE A
SHREVEPORT, LA71103-4010
Phone: 318-841-5800
Fax: 318-841-5817
Website:
Specialty Taxonomy Code
* Ambulatory Fertility Facility 261QA0006X
Women's Health 363LW0102X

* Indicates primary specialty

NPI Profile & details for ARKLATEX FERTILITY AND REPRODUCTIVE MEDICINE

NPI Number 1184033854
Legal business name
LBN
ARKLATEX FERTILITY AND REPRODUCTIVE MEDICINE
Authorized official DAVID VANDERMOLEN - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/07/2014
Last updated 08/07/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: AP0799

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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