Organization
METAIRIE LA ENDOSCOPY ASC LLC
Active
Other names
MGA Gastrointestinal Diagnostic and Therapeutic Center-Metairie
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
4228 HOUMA BLVD STE 520, METAIRIE, LA 70006-3016
(504) 885-3345
(504) 885-3349
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6100
(615) 665-1283
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
149
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1182915
—
LA
01
—
P00442669
RAILROAD MEDICARE
LA
Enumeration date
11/20/2007
Last updated
01/11/2024
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