Pet Center Of Louisiana Llc

LBN: Pet Center Of Louisiana Llc
Pet Center Of Louisiana Llc is an health care organization with primary practice located at 1495 Gause Blvd , Slidell LA 70458-2205. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, Mobile, which is considered as the primary health care specialty. Pet Center Of Louisiana Llc can be contacted via phone (504) 887-8728, or through Martinez, Roberto via phone (504) 887-8728.

Contact Information

Primary practice address
1495 Gause Blvd Slidell LA 70458-2205
Phone: (504) 887-8728
Fax: (504) 887-8702
Website:
Map and Directions
Authorized official contact:
Name: Martinez, Roberto Doctor of Medicine (MD)
Phone: (504) 887-8728

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X 445353 Louisiana

Profile Details

NPI number 1093711426
LBN Legal business name Pet Center Of Louisiana Llc
DBA Doing business as
Authorized official Martinez, Roberto Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2005
Last updated Aug 22nd, 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 1093711426 NPPES
Louisiana MEDICAID 1441520

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