Pediatric Group Of Acadiana, Llc

LBN: Pediatric Group Of Acadiana, Llc
Pediatric Group Of Acadiana, Llc is an health care organization with primary practice located at 401 Youngsville Hwy Suite 100, Lafayette LA 70508-5173. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pediatric Group Of Acadiana, Llc can be contacted via phone (337) 330-0031, or through Bourque, Danielle via phone (337) 330-0031.

Contact Information

Primary practice address
401 Youngsville Hwy Suite 100 Lafayette LA 70508-5173
Phone: (337) 330-0031
Fax: (337) 330-0059
Website:
Map and Directions
Authorized official contact:
Name: Bourque, Danielle
Phone: (337) 330-0031

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1265499628
LBN Legal business name Pediatric Group Of Acadiana, Llc
DBA Doing business as
Authorized official Bourque, Danielle
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2006
Last updated Aug 21st, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265499628 NPPES
Louisiana MEDICAID 1440604

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