Louisiana State University Health Sciences Center Viral Disease Clini

LBN: Louisiana State University Health Sciences Center Viral Disease Clini
Louisiana State University Health Sciences Center Viral Disease Clini is an health care organization with primary practice located at 6670 Saint Vincent Ave , Shreveport LA 71106-2638. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Louisiana State University Health Sciences Center Viral Disease Clini can be contacted via phone (318) 862-9986, or through Penn, Robert via phone (318) 798-5930.

Contact Information

Primary practice address
6670 Saint Vincent Ave Shreveport LA 71106-2638
Fax:
Website:
Authorized official contact:
Name: Penn, Robert Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Louisiana

Profile Details

NPI number 1285635540
LBN Legal business name Louisiana State University Health Sciences Center Viral Disease Clini
DBA Doing business as
Authorized official Penn, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Aug 22nd, 2020 - about 5 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 1285635540 NPPES
Louisiana MEDICAID 1697770

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