Organization
ADVANCED LASER EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON BODIN (OWNER)
(337) 234-5679
Entity
Organization
Contact information
Practice address
1001 W PINHOOK RD, SUITE 307, LAFAYETTE, LA 70503-2448
(337) 234-5679
Mailing address
1001 W. PINHOOK RD, SUITE 307, LAFAYETTE, LA 70503
(337) 234-5679
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459453
—
LA
01
—
H2253
BLUECROSS/BLUE SHIELD
LA
Enumeration date
04/19/2007
Last updated
05/16/2008
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