Organization
ALLIANCE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL LEA COMPLIANCE OFFICER (COMPLIANCE OFFICER)
(504) 533-8643
Entity
Organization
Contact information
Practice address
2520 HARVARD AVE # 2B, METAIRIE, LA 70001-1172
(504) 533-8643
Mailing address
201 SAINT CHARLES AVE # 114-206, NEW ORLEANS, LA 70170-1000
(504) 533-8643
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
10/27/2020
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