# ACADIANA ID ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063822997
- **Authorized official:** DR. VITALIS OKECHUKWU M.D., (OWNER)
- **Authorized official phone:** (337) 534-4131

## Contact information

- **Practice address:** 1700 KALISTE SALOOM RD BLDG 6, SUITE 600, LAFAYETTE, LA 70508-6112
- **Practice address phone:** (337) 534-4131
- **Practice address fax:** (337) 385-5859
- **Mailing address:** PO BOX 81247, LAFAYETTE, LA 70598-1247
- **Mailing address phone:** (337) 534-4131
- **Mailing address fax:** (337) 385-5859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 15601R | LA | Yes |

## Other

- **Enumeration date:** 04/30/2014
- **Last updated:** 02/17/2021