Organization
SOUTHERN MEDICAL HOLDING CORPORATION
Active
Other names
Southern Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID P MELANCON CPA, MBA (COO/CFO)
(225) 756-5239
Entity
Organization
Contact information
Practice address
12133 INDUSTRIPLEX BLVD, BATON ROUGE, LA 70809-5129
(225) 756-5239
(225) 752-2614
Mailing address
12133 INDUSTRIPLEX BLVD, BATON ROUGE, LA 70809-5129
(225) 756-5239
(225) 752-2614
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
170011032
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1121894
—
LA
05
—
506047901
—
MO
01
—
C3563
BLUE CROSS PROV.NUMBER
LA
Enumeration date
01/12/2006
Last updated
06/28/2013
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