Organization
MED-CONSULT, INC
Active
Organization
MED-CONSULT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY FORD GILBERT JD (ATTORNEY)
(916) 730-3000
Entity
Organization
Contact information
Practice address
8575 FERN AVE STE 110, SHREVEPORT, LA 71105-5677
(318) 698-8889
(318) 698-8893
Mailing address
8575 FERN AVE STE 110, SHREVEPORT, LA 71105-5677
(318) 698-8889
(318) 698-8893
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
C12615
LA
291U00000X
Clinical Medical Laboratory
C12615
LA
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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