Organization
WEST JEFFERSON SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK JUNEAU M.D. (MEDICAL DIRECTOR)
(504) 349-2332
Entity
Organization
Contact information
Practice address
1111 MEDICAL CENTER BLVD, STE 105N, MARRERO, LA 70072-3152
(504) 349-2332
(504) 349-2359
Mailing address
1111 MEDICAL CENTER BLVD, SUITE 105 NORTH, MARRERO, LA 70072
(504) 349-2332
(504) 349-2359
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
115
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115
LIC NUMBER
LA
05
—
1150011
—
LA
Enumeration date
05/24/2005
Last updated
08/22/2020
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