Organization
ANGIOGENESIS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK JAMES SCALLAN (PRESIDENT)
(225) 364-2400
Entity
Organization
Contact information
Practice address
8032 SUMMA AVE STE D, BATON ROUGE, LA 70809
(225) 364-2400
Mailing address
8032 SUMMA AVE STE D, BATON ROUGE, LA 70809-3478
(225) 364-2400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
Other
Enumeration date
11/09/2017
Last updated
04/25/2019
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