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Organization
WELLNECESSITIES ,INC.
Active
Organization
WELLNECESSITIES ,INC.
Active
Other names
Louisiana Medical Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
LEA M DESMARTEAU (CEO /OWNER)
(318) 222-0885
Entity
Organization
Contact information
Practice address
8835 LINE AVENUE, SUITE 400, SHREVEPORT, LA 71106-6718
(318) 222-0885
(318) 222-0883
Mailing address
8835 LINE AVENUE, SUITE 500, SHREVEPORT, LA 71106-6718
(318) 222-0885
(318) 222-0883
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5573004
AETNA
—
01
—
8195362
CIGNA
—
01
—
B2923
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/03/2006
Last updated
04/04/2017
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