COLONNADE ENDOSCOPY CENTER LLC; NPI #1184605792

Contact Information

COLONNADE ENDOSCOPY CENTER LLC

555 DR MICHAEL DEBAKEY DR STE 102
LAKE CHARLES, LA 70601

Phone: 337-439-6226
Fax: 337-436-8862
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for COLONNADE ENDOSCOPY CENTER LLC

NPI Number 1184605792

LBN Legal business name COLONNADE ENDOSCOPY CENTER LLC

Authorized official SABRA BROWN MOORE - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/10/2005

Last updated 06/28/2018 - About 8 years ago

Identifiers

LA	License #	099
LA	Medicaid	1366536

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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