BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA; NPI #1972924363

Contact Information

BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA

1868 KINGS HWY
SHREVEPORT, LA 71103-3659

Phone: 318-459-3719
Fax: 318-459-3980
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nuclear Pharmacy	3336N0007X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA

NPI Number 1972924363

LBN Legal business name BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA

Authorized official JAMES DEAN - (EXECUTIVE VICE PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/02/2014

Last updated 01/02/2014 - About 12 years ago

Identifiers

LA	License #	PHY.005016-NU
LA	Other	PHY.005016-NU	LOUISIANA BOARD OF PHARMACY PERMIT

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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