Organization · NPI-2

Advanced Laser Equipment, LLC

Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies · Lafayette, LA

NPI number1912124991
StatusActive
Last updated in NPPESMay 16, 2008

Details

NPI
1912124991
Entity type
Organization (NPI-2)
Legal business name
Advanced Laser Equipment, LLC
Organization subpart
No
Enumeration date
Apr 19, 2007
Last updated
May 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies––Yes

Practice location

1001 W Pinhook Rd
Suite 307
Lafayette, LA 70503-2448

Phone 337-234-5679

Mailing address

1001 W. Pinhook Rd
Suite 307
Lafayette, LA 70503

Phone 337-234-5679

Authorized official

Aaron Bodin
Owner
3372345679

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