Organization
LIFEQUEST MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAEED ROHANI (OWNER/OPERATOR)
(318) 798-6540
Entity
Organization
Contact information
Practice address
1950 E 70TH ST STE E, SHREVEPORT, LA 71105-5345
(318) 798-6540
(318) 798-6541
Mailing address
1950 E 70TH ST STE E, SHREVEPORT, LA 71105-5345
(318) 798-6540
(318) 798-6541
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1628905
—
LA
Enumeration date
10/12/2006
Last updated
07/21/2022
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