TLC MOBILE MEDICAL OF LAFAYETTE, INC (NPI# 1326017153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326017153 |
| Entity Type | Organization |
| Organization Name | TLC MOBILE MEDICAL OF LAFAYETTE, INC |
| Practice Address |
110 Hugh Wallis Rd Lafayette LA 70508-2107 |
| Mailing Address |
Po Box 80735 Lafayette LA 70598-0735 |
| Practice Telephone | 3372895456 |
| Practice Fax Number | 3372890119 |
| Mailing Telephone | 2813460801 |
| Mailing Fax Number | 2813460802 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2008-01-02 |
| Authorized Official Name | MS. BRENDA S LEBLANC (OWNER) |
| Authorized Official Telephone | 2813460801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS | 39511 | 01 |
| LA | RAILROAD MEDICARE | 630000399 | 01 |
| LA | 1373605 | 05 |
| Street Address |
110 HUGH WALLIS RD |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588633325 | Mobile Care, Inc | Clinic/Center | 110 Hugh Wallis Rd, Lafayette, LA 70508-2107 | 2006-03-15 |
| 1366411191 | Express Care Diagnostics of Southwest La., Inc | Clinic/Center | 110 Hugh Wallis Rd, Lafayette, LA 70508-2107 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154685857 | Nucleonics of Acadiana, LLC | Clinic/Center | 131 N. Roclay Dr., Lafayette, LA 70578 | 2012-06-27 |
| 1073645040 | Colorado Sonographics Inc | Clinic/Center | 549 Wild Ridge Ln, Lafayette, CO 80026-2568 | 2007-03-12 |
| 1073642906 | Dmx Diagnostics of Baton Rouge, Inc | Clinic/Center | 718 S Buchanan St, Suite A, Lafayette, LA 70501-6820 | 2007-03-05 |
| 1588633325 | Mobile Care, Inc | Clinic/Center | 110 Hugh Wallis Rd, Lafayette, LA 70508-2107 | 2006-03-15 |
| 1497135362 | Early Detection Screenings | Clinic/Center | 110 Hospital Dr, Lafayette, LA 70503-2819 | 2015-06-04 |
| 1871622712 | Dmx Diagnostics of Lafayette, LLC | Clinic/Center | 718 S Buchanan St, Suite A, Lafayette, LA 70501-6820 | 2007-03-05 |
| 1730218587 | Dmxmetairie, LLC | Clinic/Center | 718 S Buchanan St, Suite A, Lafayette, LA 70501-6820 | 2007-03-05 |
| 1699804443 | Dmx Diagnostics of Lake Charles, Inc. | Clinic/Center | 718 S Buchanan St, Suite A, Lafayette, LA 70501-6820 | 2007-03-05 |
| 1588793475 | Global Diagnostics, LLC | Clinic/Center | 718 S Buchanan St, Suite A, Lafayette, LA 70501-6820 | 2007-03-05 |
| 1366411191 | Express Care Diagnostics of Southwest La., Inc | Clinic/Center | 110 Hugh Wallis Rd, Lafayette, LA 70508-2107 | 2006-03-15 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.