institution
Southern Medical Holding Corporation
Sonography Specialist/Technologist in Baton Rouge, Louisiana
NPI 1558340083

Southern Medical Holding Corporation is a Sonography Specialist/Technologist based in Baton Rouge, LA and is specialized in Sonography. Southern Medical Holding Corporation practices in Baton Rouge, LA. The NPI Number for Southern Medical Holding Corporation is 1558340083 and holds a License No. 170011032 (Louisiana).

The current practice location address for Southern Medical Holding Corporation is 12133 Industriplex Blvd, Baton Rouge, LA and can be reached out via phone at 225-756-5239 and via fax at 225-752-2614.

Location: 12133 Industriplex Blvd, Baton Rouge, LA, 70809-5129
institution
Provider Profile Details
NPI Number
1558340083
Provider Name
Southern Medical Holding Corporation
Credential
Provider Entity Type
Organization
Address
12133 Industriplex Blvd, Baton Rouge, LA, 70809-5129
Phone Number
225-756-5239
Fax Number
225-752-2614
Provider Enumeration Date
01/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1121894 05 LA
506047901 05 MO
C3563 01 LA BLUE CROSS PROV.NUMBER
institution
Provider Business Practice Location Address Details
Address
12133 Industriplex Blvd
City
State
Zip
70809-5129
Phone Number
225-756-5239
Fax Number
225-752-2614
person
Provider Business Mailing Address Details
Address
12133 Industriplex Blvd
City
State
Zip
70809-5129
Phone Number
225-756-5239
Fax Number
225-752-2614
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist Cardiovascular
Speciality
Sonography
Taxonomy
License No.
170011032 (Louisiana)
Definition
Definition to come...
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