Southeast Neuroscience Center
LBN: Southeast Neuroscience Center, Llc
Southeast Neuroscience Center is an health care organization with primary practice located at 970 S Acadia Rd , Thibodaux LA 70301-4978. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty.
Southeast Neuroscience Center, Llc can be contacted via phone (985) 917-3007, or through Nugent, Gabriel Lee via phone (985) 850-6805.
Contact Information
Primary practice address
970 S Acadia Rd
Thibodaux LA 70301-4978
Phone: (985) 917-3007
Fax: (985) 447-4209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1962881573 |
|---|---|
| LBN Legal business name | Southeast Neuroscience Center, Llc |
| DBA Doing business as | Southeast Neuroscience Center |
| Authorized official | Nugent, Gabriel Lee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 28th, 2015 |
| Last updated | Nov 5th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962881573 | NPPES |
| Louisiana | MEDICAID | 1947482 |
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