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Contact Information

LIBERTY MEDICAL SERVICES LLC
5110 PLANK RD
BATON ROUGE, LA70805-3558
 Phone: 225-355-2050
 Fax: 225-355-7266
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for LIBERTY MEDICAL SERVICES LLC

NPI # 1114957826
LBN Legal business name LIBERTY MEDICAL SERVICES LLC
Authorized official BENJAMIN AMADI - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2006
Last updated 04/04/2008 - About 18 years ago
Identifiers
LA License # 332BC3200X
LA Medicaid 1465542
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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