MOBILE CARE, INC


Address: 110 Hugh Wallis Rd, Lafayette, LA 70508-2107
Phone: 3372895456

MOBILE CARE, INC (NPI# 1588633325) 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) 1588633325
Entity Type Organization
Organization Name MOBILE CARE, 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 2008-04-20
Authorized Official Name MR. ANDREW W DEROUEN (OWNER)
Authorized Official Telephone 2813460801
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0208X Clinic/Center
Specialization: Radiology, Mobile
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA 1677582 05
LA BLUE CROSS F0306 01
LA UNITED HEALTH CARE 0247848 01
LA STATE EMPLOYEES GROUP 00060242 01
MS 0118190 05
LA RAILROAD MEDICARE 630000814 01

Office Location

Street Address 110 HUGH WALLIS RD
City LAFAYETTE
State LA
Zip Code 70508-2107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326017153 Tlc Mobile Medical of Lafayette, 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

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Taxonomy Information

Taxonomy Code 261QR0208X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology, Mobile

Taxonomy Definition

Definition to come...

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1073642906 Dmx Diagnostics of Baton Rouge, Inc Clinic/Center 718 S Buchanan St, Suite A, Lafayette, LA 70501-6820 2007-03-05
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
1326017153 Tlc Mobile Medical of Lafayette, 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
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Competitor

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City LAFAYETTE
Zip Code 70508

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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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