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LASER & CATARACT CENTER OF SHREVEPORT LLC

Ambulatory Surgical

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Contact Information

LASER & CATARACT CENTER OF SHREVEPORT LLC
445 ASHLEY RIDGE BLVD
SHREVEPORT, LA  71106
 Phone: 318-869-1130
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

 261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for LASER & CATARACT CENTER OF SHREVEPORT LLC

NPI # 1659356392
LBN Legal business name LASER & CATARACT CENTER OF SHREVEPORT LLC
Authorized official CHARLOTTE ALFORD - (RN MANAGER ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/14/2005
Last updated 08/23/2007 - About 19 years ago
Identifiers
LA License # 122
LA Medicaid 1160563
LA Medicaid 1527211
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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