SOUTHERN MEDICAL HOLDING CORPORATION


Address: 12133 Industriplex Blvd, Baton Rouge, LA 70809-5129
Phone: 2257565239

SOUTHERN MEDICAL HOLDING CORPORATION (NPI# 1558340083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558340083
Entity Type Organization
Organization Name SOUTHERN MEDICAL HOLDING CORPORATION
Other Organization Name SOUTHERN MEDICAL CORPORATION
Practice Address 12133 Industriplex Blvd
Baton Rouge
LA 70809-5129
Practice Telephone 2257565239
Practice Fax Number 2257522614
Mailing Telephone 2257565239
Mailing Fax Number 2257522614
Enumeration Date 2006-01-12
Last Update Date 2013-06-28
Authorized Official Name MR. DAVID P MELANCON (COO/CFO)
Authorized Official Telephone 2257565239
Authorized Official Credential CPA, MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246XS1301X Spec/Tech, Cardiovascular
Specialization: Sonography
170011032 LA Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 506047901 05
LA BLUE CROSS PROV.NUMBER C3563 01
LA 1121894 05

Other Provider/Organization Names

Other Name Type Code
Southern Medical Corporation Doing Business As Name - Organization

Office Location

Street Address 12133 INDUSTRIPLEX BLVD
City BATON ROUGE
State LA
Zip Code 70809-5129

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952555161 American Diagnostic Technologies, LLC Physiological Laboratory 12133 Industriplex Blvd, Baton Rouge, LA 70809-5129 2008-11-14
1215009436 Wnf Medical, LLC Durable Medical Equipment & Medical Supplies 12133 Industriplex Blvd, Baton Rouge, LA 70809-5129 2006-11-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619582640 Lisha Kerr Jacobsen Counselor 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 2020-09-15
1790301596 Louisiana Regenerative Medicine Center Clinic/Center 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 2020-06-18
1093337305 Sew Luxe Customs, LLC Prosthetic/Orthotic Supplier 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 2020-05-08
1366903908 Tamika Wyna Piper Counselor 11445 Reiger Road, Baton Rouge, LA 70809 2019-03-27
1548734213 Urg-hab Surgical Specialists Pain Medicine 8558 Jefferson Hwy, Baton Rouge, LA 70809 2019-01-16
1205306610 Monique West Case Manager/Care Coordinator 9441 Common Street, Suite B, Baton Rouge, LA 70809 2018-11-28
1679061618 Sara Elizabeth Nicole Altaean Massage Therapist Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 2018-04-25
1871098921 Gary Bernard Jr. Massage Therapist 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 2018-03-29
1619476355 De'andria Banks Behavior Technician 9150 Bareford Drive, Baton Rouge, LA 70809 2018-02-08
1427561679 Angiogenesis Medical LLC Durable Medical Equipment & Medical Supplies 8032 Summa Ave Ste D, Baton Rouge, LA 70809 2017-11-09
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Taxonomy Information

Taxonomy Code 246XS1301X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Spec/Tech, Cardiovascular
Specialization Sonography

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447790670 Sound Health Diagnostics Spec/Tech, Cardiovascular 2224 Morningbrook Dr, Baton Rouge, LA 70816-3437 2017-03-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477098317 Seesound Technologies, LLC Spec/Tech, Cardiovascular 1920 General Taylor St, New Orleans, LA 70115-5350 2017-01-02
1952784043 Kyle Hayes Spec/Tech, Cardiovascular 315 Walker Gravel Pit Rd, Dry Prong, LA 71423-3651 2015-07-07
1184977753 Samuel Tournillon IIi Spec/Tech, Cardiovascular 229 Evangeline Dr, Mandeville, LA 70471-1856 2012-10-19
1053618280 Precision Imaging, LLC Spec/Tech, Cardiovascular 489 Secluded Grove Loop, Madisonville, LA 70447-3331 2011-02-24
1417250846 Kevin J Tate Spec/Tech, Cardiovascular 335 Grant Rd, Opelousas, LA 70570-0745 2010-12-07
1366767071 Jennifer Evans Spec/Tech, Cardiovascular 275 Clinton Dr, Stonewall, LA 71078-5405 2010-04-06
1336345693 Gordon A Lee Spec/Tech, Cardiovascular 451 Elmwood St, Shreveport, LA 71104-5009 2007-06-25
1538549407 Brandie Hidalgo Anderson Spec/Tech, Cardiovascular 110 Hospital Dr, Lafayette, LA 70503-2819 2015-06-04
1831417823 Quality Mobile Ultrasound LLC Spec/Tech, Cardiovascular 275 Clinton Dr, Stonewall, LA 71078-5405 2010-05-14
1124357504 Pinnacle Medical Services, Inc. Spec/Tech, Cardiovascular 72108 Ramos Ave, Suite A, Covington, LA 70433-9501 2009-12-15
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Competitor

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City BATON ROUGE
Zip Code 70809

Improve Information

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Dataset Information

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.

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