NPIMap

Organization Active NPI

M L D Institute of Louisiana, LLC

  • Health Service Clinic/Center
  • Slidell, LA
National Provider Identifier
1427326446
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
0082611 Issued in LA
Legal business name
M L D INSTITUTE OF LOUISIANA, LLC
Practice address
1274 Saint Tammany Ave
Slidell, LA 70460
Phone
(504) 220-0225
NPI assigned
Dec 5, 2011
Last updated
Dec 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Ms. Dale Ann Vucinovich, RN
Title
Owner/Operator
Phone
(504) 220-0225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 0082611 LA Primary

Addresses

Primary practice location

1274 Saint Tammany Ave
Slidell, LA 70460

Mailing address

1274 Saint Tammany Ave
Slidell, LA 70460
Phone (504) 220-0225

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1427326446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 SAINT TAMMANY AVE",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70460",
            "telephone_number": "504-220-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 SAINT TAMMANY AVE",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70460",
            "telephone_number": "504-220-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M L D INSTITUTE OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "VUCINOVICH",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "504-220-0225",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "LA",
            "license": "0082611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.