Organization Active NPI

Ljlmedical Enterprise LLC

  • Durable Medical Equipment & Medical Supplies
  • Slidell, LA
National Provider Identifier
1982774717
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LJLMEDICAL ENTERPRISE LLC
Practice address
34030 Tupelo LN
Slidell, LA 70460-3028
Phone
(985) 726-0984
Fax
(985) 726-0985
NPI assigned
Nov 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lisa Jordan Lackey, CPC
Title
Owner
Phone
(985) 726-0984

Specialties & licenses 1

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

Addresses

Primary practice location

34030 Tupelo LN
Slidell, LA 70460-3028

Mailing address

34030 Tupelo LN
Slidell, LA 70460-3028
Phone (985) 726-0984

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982774717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34030 TUPELO LN",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704603028",
            "telephone_number": "985-726-0984",
            "fax_number": "985-726-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34030 TUPELO LN",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704603028",
            "telephone_number": "985-726-0984",
            "fax_number": "985-726-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJLMEDICAL ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LACKEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-726-0984",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • 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.