Organization
MEDASTAT USA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN LANNAN (REGULATORY COORDINATOR)
(502) 489-9449
Entity
Organization
Contact information
Practice address
206 JACOBS RUN, STE A, SCOTT, LA 70583-8907
(888) 750-7828
(866) 750-7828
Mailing address
1920 STANLEY GAULT PKWY, STE 100, LOUISVILLE, KY 40223-4208
(502) 489-9449
(502) 489-9401
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3222775-001
LA
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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