Organization
LOUISIANA EDOSCOPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES C. BERGGREEM M.D. (DIRECTOR)
(225) 927-1190
Entity
Organization
Contact information
Practice address
9103 JEFFERSON HWY, BATON ROUGE, LA 70809-2440
(225) 927-1190
(225) 231-8819
Mailing address
9103 JEFFERSON HWY, BATON ROUGE, LA 70809-2440
(225) 927-1190
(225) 231-8819
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
46
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902781
—
LA
Enumeration date
05/31/2006
Last updated
08/22/2020
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