Organization Active NPI

Alliance Medical Center LLC

  • Clinic/Center
  • Metairie, LA
National Provider Identifier
1245880632
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ALLIANCE MEDICAL CENTER LLC
Practice address
2520 Harvard Ave # 2B
Metairie, LA 70001-1172
Phone
(504) 533-8643
NPI assigned
Sep 17, 2019
Last updated
Oct 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Paul Lea, COMPLIANCE OFFICER
Title
Compliance Officer
Phone
(504) 533-8643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

2520 Harvard Ave # 2B
Metairie, LA 70001-1172

Mailing address

201 Saint Charles Ave # 114-206
New Orleans, LA 70170-1000
Phone (504) 533-8643

National Provider Directory

National Provider Directory

Locations

2520 Harvard Ave
#2B
Metairie, LA 70001
Phone (504) 454-3004

3348 W Esplanade Ave S
Metairie, LA 70002

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1245880632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SAINT CHARLES AVE # 114-206",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701701000",
            "telephone_number": "504-533-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 HARVARD AVE # 2B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011172",
            "telephone_number": "504-533-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "LEA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "504-533-8643",
        "authorized_official_credential": "COMPLIANCE OFFICER"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.