Pediatric & Adolescent Clinic Of Louisiana Llc

LBN: Pediatric & Adolescent Clinic Of Louisiana Llc
Pediatric & Adolescent Clinic Of Louisiana Llc is an health care organization with primary practice located at 1806 Carter St , Vidalia LA 71373-3115. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Pediatric & Adolescent Clinic Of Louisiana Llc can be contacted via phone (318) 336-7172, or through Timm, David via phone (601) 442-7676.

Contact Information

Primary practice address
1806 Carter St Vidalia LA 71373-3115
Phone: (318) 336-7172
Fax: (318) 336-7176
Website:
Map and Directions
Authorized official contact:
Name: Timm, David Doctor of Medicine (MD)
Phone: (601) 442-7676

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1346092038
LBN Legal business name Pediatric & Adolescent Clinic Of Louisiana Llc
DBA Doing business as
Authorized official Timm, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2024
Last updated Apr 4th, 2024 - 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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