The Kidney Clinic Llc

LBN: The Kidney Clinic Llc
The Kidney Clinic Llc is an health care organization with primary practice located at 333 Dr Michael Debakey Dr Suite 140, Lake Charles LA 70601-5887. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. The Kidney Clinic Llc can be contacted via phone (337) 494-7090, or through Abu Shamat, Abdel Farid via phone (337) 494-7090.

Contact Information

Primary practice address
333 Dr Michael Debakey Dr Suite 140 Lake Charles LA 70601-5887
Phone: (337) 494-7090
Fax: (337) 494-7040
Website:
Map and Directions
Authorized official contact:
Name: Abu Shamat, Abdel Farid Doctor of Medicine (MD)
Phone: (337) 494-7090

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X MD11617R Louisiana

Profile Details

NPI number 1760665129
LBN Legal business name The Kidney Clinic Llc
DBA Doing business as
Authorized official Abu Shamat, Abdel Farid Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2007
Last updated Dec 7th, 2009 - about 15 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 1760665129 NPPES
Louisiana MEDICAID 1679232

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