Louisiana Medical Diagnostics

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00171710 Issued in LA

Legal business name

LOUISIANA MEDICAL DIAGNOSTICS

Practice address

8835 Line Ave
Suite 500
Shreveport, LA 71106-6718

Phone

(318) 222-0885

Fax

(318) 222-0883

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Lea Desmarteau

Title

Ceo

Phone

(318) 222-0885

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Vital Sleep Former legal business name

Tax ID family

Louisiana Medical Diagnostics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Wellnecessities ,Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Shreveport, LA
  • NPI 1871571778
  NPD tax ID
• Wellnecessities, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
  • NPI 1295713956
  NPD tax ID

Locations

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619985488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8835 LINE AVE",
            "address_2": "SUITE 500",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066718",
            "telephone_number": "318-222-0885",
            "fax_number": "318-222-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 LINE AVE",
            "address_2": "SUITE 500",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066718",
            "telephone_number": "318-222-0885",
            "fax_number": "318-222-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA MEDICAL DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESMARTEAU",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-222-0885"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "00171710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982814",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "B2923",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DME PROVIDER NUMBER",
            "identifier": "C8879",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Sleep",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.