Southern Louisiana Medical Group, Llc

LBN: Southern Louisiana Medical Group, Llc
Southern Louisiana Medical Group, Llc is an health care organization with primary practice located at 2104 Gause Blvd W Ste A , Slidell LA 70460-4130. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Southern Louisiana Medical Group, Llc can be contacted via phone (985) 643-4575, or through Drake, Karen via phone (504) 229-7451.

Contact Information

Primary practice address
2104 Gause Blvd W Ste A Slidell LA 70460-4130
Phone: (985) 643-4575
Fax: (833) 222-4520
Website:
Map and Directions
Authorized official contact:
Name: Drake, Karen
Phone: (504) 229-7451

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1598311029
LBN Legal business name Southern Louisiana Medical Group, Llc
DBA Doing business as
Authorized official Drake, Karen
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2019
Last updated Oct 9th, 2020 - about 5 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 1598311029 NPPES
Louisiana Other 27-2182406 TAX ID

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