Active NPI
Ideal Me of Hammond, LLC
- Health Service Clinic/Center
- Hammond, LA
National Provider Identifier
1114279585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 001293
- Legal business name
- IDEAL ME OF HAMMOND, LLC
- Practice address
- 15748 Medical Arts Dr
Hammond, LA 70403-1446 - Phone
- (985) 542-0663
- Fax
- (985) 542-0698
- NPI assigned
- Oct 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lemar Franklin Marshall
- Title
- Chief Operations Officer
- Phone
- (985) 542-0663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 001293 | LA | Primary |
Addresses
Primary practice location
15748 Medical Arts Dr
Hammond, LA 70403-1446
Mailing address
15748 Medical Arts Dr
Hammond, LA 70403-1446
Phone (985) 542-0663
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349827200000",
"number": "1114279585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15748 MEDICAL ARTS DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031446",
"telephone_number": "985-542-0663",
"fax_number": "985-542-0698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15748 MEDICAL ARTS DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031446",
"telephone_number": "985-542-0663",
"fax_number": "985-542-0698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDEAL ME OF HAMMOND, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-10",
"last_updated": "2012-10-10",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "LEMAR",
"authorized_official_middle_name": "FRANKLIN",
"authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
"authorized_official_telephone_number": "985-542-0663"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "LA",
"license": "001293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.