Organization
PROGRESSIVE DME AND MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT CANALIZO (CFO)
(504) 263-1700
Entity
Organization
Contact information
Practice address
1141 WHITNEY AVE, BUILDING 4, GRETNA, LA 70056-5011
(504) 263-1700
(504) 263-1711
Mailing address
1141 WHITNEY AVE, BUILDING 4, GRETNA, LA 70056-5011
(504) 263-1700
(504) 263-1711
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1478717
—
LA
Enumeration date
02/23/2007
Last updated
07/21/2022
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