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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)

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Contact Information

ARKLATEX FERTILITY AND REPRODUCTIVE MEDICINE
2401 GREENWOOD RD
SUITE A
SHREVEPORT, LA  71103-4010
 Phone: 318-841-5800
 Fax: 318-841-5817
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Ambulatory Fertility Facility

 261QA0006X
 

Women's Health

 363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ARKLATEX FERTILITY AND REPRODUCTIVE MEDICINE

NPI Number 1184033854
LBN Legal business name ARKLATEX FERTILITY AND REPRODUCTIVE MEDICINE
Authorized official DAVID VANDERMOLEN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/07/2014
Last updated 08/07/2014 - About 12 years ago
Identifiers
LA License # AP0799
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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