Organization
TALBERTS MEDICAL LLC
Active
Other names
TALBERT'S MEDICAL BILLING
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LOUISE TALBERT (OWNER)
(337) 439-2119
Entity
Organization
Contact information
Practice address
1011 LAKE SHORE DR, SUITE 521, LAKE CHARLES, LA 70601-9412
(337) 439-2119
(337) 439-2120
Mailing address
PO BOX 580, SUITE 521, LAKE CHARLES, LA 70602-0580
(337) 439-2119
(337) 439-2120
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
LA
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4502079
—
LA
01
—
L0729
MEDICARE SUBMITTER
LA
Enumeration date
05/03/2006
Last updated
03/06/2008
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