Bol Medical L.L.C.
Organization Active NPI Clinic/Center · New Orleans, LA
NPI 1679624530 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1679624530
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- BOL MEDICAL L.L.C.
- Practice address
- 900 Magazine St
New Orleans, LA 70130-3814 - Phone
- (504) 309-0534
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Ajsa Nikolic, M.D.
- Title
- Owner
- Phone
- (504) 837-4208
Practitioners 2
National Provider Directory
Locations
3601 Houma Blvd
Ste 407
Metairie, LA 70006
Phone (504) 284-1520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes | ||
| Emergency Care Clinic/Center | 261QE0002X | LA 025945 | LA | |
| Multi-Specialty Clinic/Center | 261QM1300X | LA 025945 | LA |
Addresses
Primary practice location
900 Magazine St
New Orleans, LA 70130-3814
Mailing address
900 Magazine St
New Orleans, LA 70130-3814
Phone (504) 309-0534
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1140406 | Medicaid | LA | |
| 5CQ53 | Other | LA | MEDICARE GROUP NO |
| LA025945 | Other | LA | LICENCE |
Other names
- Bol Medical
Other providers in New Orleans, LA
- Erin Elizabeth Boh
- Humberto Elias Bohorquez
- Leonard Robert Bok
- Carissa Lyn Bokelberg
- George Arthur Bokelberg
- Corey Patrick Boland
- Jamie Lee Bolden
- Lindsey Rose Bolden
- Lynn Chandler Bolden
- Rickia Bolden
All providers in New Orleans, LA · Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.