Organization
REGIONAL UROLOGY ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E PALMER MD (BOARD MEMBER)
(318) 683-0411
Entity
Organization
Contact information
Practice address
255 BERT KOUNS LOOP, SHREVEPORT, LA 71106-8150
(318) 683-0411
(318) 603-5461
Mailing address
255 BERT KOUNS LOOP, SHREVEPORT, LA 71106-8150
(318) 683-0411
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
100
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1180793
—
LA
01
—
20117
BLUE CROSS OF LA
LA
01
—
490004967
RAILROAD MEDICARE
—
Enumeration date
06/20/2005
Last updated
01/07/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us