NPIMap

Organization Active NPI

Medastat USA

  • Durable Medical Equipment & Medical Supplies
  • Scott, LA
National Provider Identifier
1821242389
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
3222775-001 Issued in LA
Legal business name
MEDASTAT USA
Practice address
206 Jacobs Run
Ste a
Scott, LA 70583-8907
Phone
(888) 750-7828
Fax
(866) 750-7828
NPI assigned
Nov 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Ms. Susan Lannan
Title
Regulatory Coordinator
Phone
(502) 489-9449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3222775-001 LA Primary

Addresses

Primary practice location

206 Jacobs Run
Ste a
Scott, LA 70583-8907

Mailing address

1920 Stanley Gault Pkwy
Ste 100
Louisville, KY 40223-4208
Phone (502) 489-9449

National Provider Directory

National Provider Directory
Tax ID family
Medastat USA2 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

206 Jacobs Run
#A
Scott, LA 70583

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1821242389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 STANLEY GAULT PKWY",
            "address_2": "STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234208",
            "telephone_number": "502-489-9449",
            "fax_number": "502-489-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 JACOBS RUN",
            "address_2": "STE A",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705838907",
            "telephone_number": "888-750-7828",
            "fax_number": "866-750-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDASTAT USA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "LANNAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "REGULATORY COORDINATOR",
        "authorized_official_telephone_number": "502-489-9449",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "3222775-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.