Organization
MAYFIELD INC.
Active
Other names
FASTSERV MEDICAL MONROE
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MAYFIELD (OWNER/PRESIDENT)
(318) 396-3366
Entity
Organization
Contact information
Practice address
112 SUMMER LN, WEST MONROE, LA 71291-3500
(318) 396-3366
(318) 397-2132
Mailing address
112 SUMMER LN, WEST MONROE, LA 71291-3500
(318) 396-3366
(318) 397-2132
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532622
—
LA
05
—
1548553
—
LA
05
—
1548561
—
LA
Enumeration date
11/01/2006
Last updated
08/22/2020
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