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Organization
NORTHERN LOUISIANA CARDIAC SERVICES LLC
Active
Organization
NORTHERN LOUISIANA CARDIAC SERVICES LLC
Active
Other names
ADVANCED HEART AND VASCULAR CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC PALMER (BOARD MEMBER)
(318) 681-5054
Entity
Organization
Contact information
Practice address
1453 E BERT KOUNS INDUSTRIAL LOOP STE 220, SHREVEPORT, LA 71105-6810
(318) 629-3170
(318) 629-3171
Mailing address
PO BOX 51008, SHREVEPORT, LA 71135-1008
(318) 629-3170
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/25/2017
Last updated
11/02/2017
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