Northlake Cardiology Diagnostics Llc

LBN: Northlake Cardiology Diagnostics Llc
Northlake Cardiology Diagnostics Llc is an health care organization with primary practice located at 1150 Robert Blvd Suite 340, Slidell LA 70458-2004. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Northlake Cardiology Diagnostics Llc can be contacted via phone (985) 649-2883, or through Thomas, Madaelil G. via phone (985) 649-2883.

Contact Information

Primary practice address
1150 Robert Blvd Suite 340 Slidell LA 70458-2004
Fax: (985) 649-2953
Website:
Authorized official contact:
Name: Thomas, Madaelil G. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 05592R Louisiana

Profile Details

NPI number 1568764124
LBN Legal business name Northlake Cardiology Diagnostics Llc
DBA Doing business as
Authorized official Thomas, Madaelil G. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 2nd, 2010
Last updated Dec 2nd, 2010 - about 14 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 1568764124 NPPES
Louisiana MEDICAID 1316067

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