Organization
IDEAL GOODS LLC
Active
Other names
IG Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSLAN CHORNYI (OWNER)
(504) 402-3564
Entity
Organization
Contact information
Practice address
1500 EDWARDS AVE STE E, HARAHAN, LA 70123-6910
(504) 402-3564
Mailing address
1500 EDWARDS AVE STE E, HARAHAN, LA 70123-6910
(504) 402-3564
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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