Organization
ALLEGIANCE MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES SCOTT ROPER LPN (OWNER)
(318) 865-7111
Entity
Organization
Contact information
Practice address
1532 IRVING PL, SHREVEPORT, LA 71101-4604
(318) 865-7111
(318) 865-7771
Mailing address
1532 IRVING PL, SHREVEPORT, LA 71101-4604
(318) 865-7111
(318) 865-7771
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1109771
—
LA
05
—
1476756-01
—
TX
01
—
G4270
BCBS
LA
Enumeration date
01/03/2007
Last updated
10/14/2011
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