Active NPI
Miss-Lou Infusion Therapy
- Infusion Therapy Clinic/Center
- Vidalia, LA
National Provider Identifier
1649563701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Legal business name
- MISS-LOU INFUSION THERAPY
- Practice address
- 1643 Carter Street
Suite 1
Vidalia, LA 71373 - Phone
- (318) 336-4444
- Fax
- (318) 336-4411
- NPI assigned
- May 24, 2011
- 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
- Mr. Craig Guillory
- Title
- President
- Phone
- (318) 336-4444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | Primary |
Addresses
Primary practice location
1643 Carter Street
Suite 1
Vidalia, LA 71373
Mailing address
PO Box 14149
Baton Rouge, LA 70898-4149
Phone (318) 336-4444
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319155200000",
"number": "1649563701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14149",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708984149",
"telephone_number": "318-336-4444",
"fax_number": "318-336-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1643 CARTER STREET",
"address_2": "SUITE 1",
"city": "VIDALIA",
"state": "LA",
"postal_code": "71373",
"telephone_number": "318-336-4444",
"fax_number": "318-336-4411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISS-LOU INFUSION THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-24",
"last_updated": "2011-10-21",
"status": "A",
"authorized_official_last_name": "GUILLORY",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "318-336-4444",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vidalia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.