Organization
SOUTHERN MEDICAL HOLDING CORPORATION
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up