Organization
CARDIOVASCULAR CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE L MORROW (OFFICE MANAGER)
(337) 234-7779
Entity
Organization
Contact information
Practice address
5000 AMBASSADOR CAFFERY PKWY, PROVINCE BLDG. 14-A, LAFAYETTE, LA 70508-6984
(337) 234-7779
(337) 235-7246
Mailing address
5000 AMBASSADOR CAFFERY PKWY, PROVINCE BLDG. 14-A, LAFAYETTE, LA 70508-6984
(337) 234-7779
(337) 235-7246
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1795721
—
LA
01
—
56751
MEDICARE GROUP
LA
01
—
CH4405
RR MEDICARE
LA
Enumeration date
01/03/2007
Last updated
03/18/2010
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