Breast Center Of Acadiana, A Professional Medical Corporation

LBN: Breast Center Of Acadiana, A Professional Medical Corporation
Breast Center Of Acadiana, A Professional Medical Corporation is an health care organization with primary practice located at 935 Camellia Blvd Ste 100, Lafayette LA 70508-6961. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Breast Center Of Acadiana, A Professional Medical Corporation can be contacted via phone (337) 504-5000, or through Mathews, Gary L. via phone (337) 504-5000.

Contact Information

Primary practice address
935 Camellia Blvd Ste 100 Lafayette LA 70508-6961
Fax: (337) 504-5646
Website:
Authorized official contact:
Name: Mathews, Gary L. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1366439549
LBN Legal business name Breast Center Of Acadiana, A Professional Medical Corporation
DBA Doing business as
Authorized official Mathews, Gary L. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2005
Last updated Mar 11th, 2020 - about 4 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 1366439549 NPPES
Louisiana MEDICAID 1440744

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