Organization Active NPI

Lacam Enterprise LLC

Doing business as LACAM Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
National Provider Identifier
1730494170
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LACAM ENTERPRISE LLC
Doing business as
LACAM Medical Supplies
Practice address
7505 Pines Road
Suite 1200-I
Shreveport, LA 71129
Phone
(318) 779-1512
Fax
(318) 779-1487
NPI assigned
Aug 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Mr. James Derrick Ely
Title
President
Phone
(318) 779-1512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

7505 Pines Road
Suite 1200-I
Shreveport, LA 71129

Mailing address

7505 Pines Road
Suite 1200-I
Shreveport, LA 71129
Phone (318) 779-1512

Other identifiers 1

IdentifierTypeStateIssuer
1322181MedicaidLA

Other names 1

  • LACAM Medical Supplies Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lacam Enterprise LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7505 Pines Rd
Ste 1200I
Shreveport, LA 71129
Phone (318) 716-1707

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1730494170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 PINES ROAD",
            "address_2": "SUITE 1200-I",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71129",
            "telephone_number": "318-779-1512",
            "fax_number": "318-779-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 PINES ROAD",
            "address_2": "SUITE 1200-I",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71129",
            "telephone_number": "318-779-1512",
            "fax_number": "318-779-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACAM ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "ELY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DERRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-779-1512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1322181",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LACAM Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.