Northlake Nephrology Institute

LBN: Northlake Nephrology Inc
Northlake Nephrology Institute is an health care organization with primary practice located at 1970 N Hwy 190 , Covington LA 70433. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Northlake Nephrology Inc can be contacted via phone (985) 400-5988, or through Simon, John C via phone (985) 400-5988.

Contact Information

Primary practice address
1970 N Hwy 190 Covington LA 70433
Phone: (985) 400-5988
Fax: (985) 256-5687
Website:
Map and Directions
Authorized official contact:
Name: Simon, John C Doctor of Medicine (MD)
Phone: (985) 400-5988

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1366448458
LBN Legal business name Northlake Nephrology Inc
DBA Doing business as Northlake Nephrology Institute
Authorized official Simon, John C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2005
Last updated Feb 16th, 2021 - about 3 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 1366448458 NPPES
Louisiana MEDICAID 1442577

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