EAST JEFFERSON AMBULATORY SURGERY CENTER NPI 1992788772

NPI Information

NPI: 1992788772
Provider Name: EAST JEFFERSON AMBULATORY SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 19D1045077

Address:
4320 HOUMA BLVD
5TH FLOOR
METAIRIE, LA
ZIP 70006
Phone: (504) 274-2200
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EAST JEFFERSON AMBULATORY SURGERY CENTER is an ambulatory surgical clinic center in Metairie, LA. EAST JEFFERSON AMBULATORY SURGERY CENTER NPI is 1992788772. The provider is registered as an organization entity type.

The provider's business location address is:

4320 HOUMA BLVD
5TH FLOOR
METAIRIE, LA
ZIP 70006-973
Phone: (504) 274-2200
Fax: (504) 274-2201

The provider's authorized official is Eric R. George .
The authorized official title is Medical Director and has the following contact phone number (504) 454-2191.

The CLIA number assigned to this NPI record is 19D1045077 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/25/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical		LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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