Organization
WELLNECESSITIES, INC.
Active
Other names
Louisiana Medical Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
LEA DESMARTEAU (CEO/OWNER)
(318) 222-0885
Entity
Organization
Contact information
Practice address
8835 LINE AVENUE, SUITE 500, SHREVEPORT, LA 71106
(318) 222-0885
(318) 222-0883
Mailing address
8835 LINE AVENUE, SUITE 500, SHREVEPORT, LA 71106
(318) 222-0885
(318) 222-0883
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
090010992
LA
332BX2000X
Oxygen Equipment & Supplies (DME)
090010992
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982814
—
LA
01
—
C8879
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/04/2006
Last updated
04/04/2017
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