Active Life Medical
LBN: Active Life Medical Management
Active Life Medical is an health care organization with primary practice located at 4501 Jackson St Ste. C-322, Alexandria LA 71303-2555. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Active Life Medical Management can be contacted via phone (318) 442-2200, or through Souza, Jeffrey via phone (318) 442-2200.
Contact Information
Primary practice address
4501 Jackson St Ste. C-322
Alexandria LA 71303-2555
Phone: (318) 442-2200
Fax: (318) 442-2208
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Customized Equipment | 332BC3200X | DME000481 | Louisiana |
Suppliers / Nursing Facility Supplies | 332BN1400X | DME000481 | Louisiana |
Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | DME000481 | Louisiana |
Suppliers / Oxygen Equipment & Supplies | 332BX2000X | DME000481 | Louisiana |
Profile Details
NPI number | 1134507908 |
---|---|
LBN Legal business name | Active Life Medical Management |
DBA Doing business as | Active Life Medical |
Authorized official | Souza, Jeffrey |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 13th, 2015 |
Last updated | May 13th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134507908 | NPPES |
Louisiana | Other | DME000481 | LA PHARMACY LICENSE |
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