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Organization

LOUISIANA MEDICAL DIAGNOSTICS

Active
Other names
Vital Sleep
Organization subpart
No

Provider details

NPI number
Authorized official
LEA DESMARTEAU (CEO)
(318) 222-0885
Entity
Organization

Contact information

Practice address
8835 LINE AVE, SUITE 500, SHREVEPORT, LA 71106-6718
(318) 222-0885
(318) 222-0883
Mailing address
8835 LINE AVE, SUITE 500, SHREVEPORT, LA 71106-6718
(318) 222-0885
(318) 222-0883

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00171710
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1982814
LA
01
B2923
BCBS PROVIDER NUMBER
LA
01
C8879
BCBS DME PROVIDER NUMBER
LA
Enumeration date
08/04/2006
Last updated
08/22/2020
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