Bluefin Medical, Llc

LBN: Bluefin Medical, Llc
Bluefin Medical, Llc is an health care organization with primary practice located at 850 Margaret Pl , Shreveport LA 71101-4521. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Bluefin Medical, Llc can be contacted via phone (318) 208-2000, or through Davis, Randall Ivan via phone (318) 773-5880.

Contact Information

Primary practice address
850 Margaret Pl Shreveport LA 71101-4521
Phone: (318) 208-2000
Fax: (318) 227-7627
Website:
Map and Directions
Authorized official contact:
Name: Davis, Randall Ivan Doctor of Medicine (MD)
Phone: (318) 773-5880

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X

Profile Details

NPI number 1376253138
LBN Legal business name Bluefin Medical, Llc
DBA Doing business as
Authorized official Davis, Randall Ivan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 1st, 2022
Last updated Dec 1st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376253138 NPPES
Louisiana MEDICAID 1486647

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