Southern Medical Corporation

LBN: Southern Medical Holding Corporation
Southern Medical Corporation is an health care organization with primary practice located at 12133 Industriplex Blvd , Baton Rouge LA 70809-5129. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Sonography, which is considered as the primary health care specialty. Southern Medical Holding Corporation can be contacted via phone (225) 756-5239, or through Melancon, David P via phone (225) 756-5239.

Contact Information

Primary practice address
12133 Industriplex Blvd Baton Rouge LA 70809-5129
Phone: (225) 756-5239
Fax: (225) 752-2614
Website:
Map and Directions
Authorized official contact:
Name: Melancon, David P CPA, MBA
Phone: (225) 756-5239

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Sonography 246XS1301X 170011032 Louisiana

Profile Details

NPI number 1558340083
LBN Legal business name Southern Medical Holding Corporation
DBA Doing business as Southern Medical Corporation
Authorized official Melancon, David P CPA, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2006
Last updated Jun 28th, 2013 - about 11 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 1558340083 NPPES
Louisiana MEDICAID 1121894
Louisiana MEDICAID 506047901
Louisiana Other C3563

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