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Contact Information

WEST JEFFERSON CT SCAN LLC
4525 WESTBANK EXPY
SUITE A
MARRERO, LA70072-3120
 Phone: 504-349-6570
 Fax: 504-349-6575
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for WEST JEFFERSON CT SCAN LLC

NPI Number 1013918077
LBN Legal business name WEST JEFFERSON CT SCAN LLC
Authorized official EDWIN ROSS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/02/2005
Last updated 03/18/2015 - About 11 years ago
Identifiers
LA Medicaid 1447285
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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