Bol Medical

LBN: Bol Medical L.L.C.
Bol Medical is an health care organization with primary practice located at 900 Magazine St , New Orleans LA 70130-3814. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Emergency Care, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Bol Medical L.L.C. can be contacted via phone (504) 309-0534, or through Nikolic, Ajsa via phone (504) 837-4208.

Contact Information

Primary practice address
900 Magazine St New Orleans LA 70130-3814
Fax:
Website:
Authorized official contact:
Name: Nikolic, Ajsa Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Emergency Care 261QE0002X LA 025945 Louisiana
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X LA 025945 Louisiana

Profile Details

NPI number 1679624530
LBN Legal business name Bol Medical L.L.C.
DBA Doing business as Bol Medical
Authorized official Nikolic, Ajsa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Mar 7th, 2023 - about last year

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 1679624530 NPPES
Louisiana MEDICAID 1140406
Louisiana Other 5CQ53
Louisiana Other LA025945

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