Organization
LIBERTY MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN AMADI (CEO)
(225) 355-2050
Entity
Organization
Contact information
Practice address
5110 PLANK RD, BATON ROUGE, LA 70805-3558
(225) 355-2050
(225) 355-7266
Mailing address
5110 PLANK RD, BATON ROUGE, LA 70805-3558
(225) 355-2050
(225) 355-7266
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
332BC3200X
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1465542
—
LA
Enumeration date
07/05/2006
Last updated
04/04/2008
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