Cardiovascular Specialty Care Center Asc LLC
Clinic/Center, Ambulatory Surgical in Covington, LA. Organization (NPI-2).
NPI number1164095857
StatusActive
Last updated in NPPESJul 20, 2021
Details
- NPI
- 1164095857
- Entity type
- Organization (NPI-2)
- Legal business name
- Cardiovascular Specialty Care Center Asc LLC
- Organization subpart
- No
- Enumeration date
- Jul 20, 2021
- Certification date
- Jul 20, 2021
- Last updated
- Jul 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
71070 Highway 21Covington, LA 70433-7160
Phone 225-767-9878
Mailing address
2223 Quail Run Ste FBaton Rouge, LA 70808-9063
Phone 225-214-9669
Authorized official
Martin Fischer
Chief Executive Officer
2252149669
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