Organization Active NPI

Lobdale Medical Services

  • Durable Medical Equipment & Medical Supplies
  • Baton Rouge, LA
National Provider Identifier
1073530747
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LOBDALE MEDICAL SERVICES
Practice address
1111 N Lobdell Ave Ste E
Baton Rouge, LA 70806-8832
Phone
(225) 932-9161
Fax
(225) 932-9161
NPI assigned
Jul 17, 2006
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Young Okoro Anyanwu
Title
Owner/Director
Phone
(225) 932-9161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1111 N Lobdell Ave Ste E
Baton Rouge, LA 70806-8832

Mailing address

1111 N Lobdell Ave Ste E
Baton Rouge, LA 70806-8832
Phone (225) 932-9161

Other identifiers 1

IdentifierTypeStateIssuer
1721689MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1073530747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N LOBDELL AVE STE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068832",
            "telephone_number": "225-932-9161",
            "fax_number": "225-932-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N LOBDELL AVE STE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068832",
            "telephone_number": "225-932-9161",
            "fax_number": "225-932-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOBDALE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "ANYANWU",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "OKORO",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "225-932-9161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1721689",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.