CARDIAC CATH LAB OF LAKE CHARLES, LP (NPI# 1033565320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033565320 |
| Entity Type | Organization |
| Organization Name | CARDIAC CATH LAB OF LAKE CHARLES, LP |
| Other Organization Name | CARDIOVASCULAR OUTPATIENT CENTER OF SOUTHWEST LOUISIANA |
| Practice Address |
401 Dr Michael Debakey Dr Suite 300 Lake Charles LA 70601-5864 |
| Practice Telephone | 3376029991 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2018-09-24 |
| Authorized Official Name | JAMES SPELLMIRE (CFO) |
| Authorized Official Telephone | 7138127586 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cardiovascular Outpatient Center of Southwest Louisiana | Doing Business As Name - Organization |
| Street Address |
401 DR MICHAEL DEBAKEY DR SUITE 300 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-5864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043201569 | James Jeffery Jancuska | Urology | 401 Dr Michael Debakey Dr, Lake Charles, LA 70601-5864 | 2005-11-03 |
| 1679045488 | Ochsner Clinic LLC | Internal Medicine | 401 Dr Michael Debakey Dr, Lake Charles, LA 70601-5864 | 2018-12-19 |
| 1912421553 | Jaylin Barkley Miller | Registered Nurse | 401 Dr Michael Debakey Dr, Lake Charles, LA 70601-5864 | 2017-07-26 |
| 1841646130 | Lake Charles Ambulatory Surgery Center, Lp | Clinic/Center | 401 Dr Michael Debakey Dr, Suite 310, Lake Charles, LA 70601-5864 | 2016-05-05 |
| 1184060089 | Sherrie Tilley Eakin | Nurse Practitioner | 401 Dr Michael Debakey Dr, Ste 100, Lake Charles, LA 70601-5864 | 2013-05-17 |
| 1912249889 | Sloane Elizabeth Churchman | Dietitian, Registered | 401 Dr Michael Debakey Dr, Lake Charles, LA 70601-5864 | 2013-03-19 |
| 1598007437 | Gudrun Reed | Family Medicine | 401 Dr Michael Debakey Dr, Ste 100, Lake Charles, LA 70601-5864 | 2013-03-18 |
| 1992056048 | Kenneth A Ewane | Specialist | 401 Dr Michael Debakey Dr, Lake Charles, LA 70601-5864 | 2012-09-28 |
| 1154616936 | Matias Javier Nauts | Surgery | 401 Dr Michael Debakey Dr, Suite 100 C&d, Lake Charles, LA 70601-5864 | 2011-06-09 |
| 1134271448 | Raul Enrique Varela | Internal Medicine | 401 Dr Michael Debakey Dr, Ste 100, Lake Charles, LA 70601-5864 | 2007-01-17 |
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|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1134545676 | New Beginnings At Lake Charles LLC | Clinic/Center | 145 Victoria Dr, Lake Charles, LA 70611-4641 | 2014-03-07 |
| 1205125374 | Infinite Health Integrative Medicine Center Inc | Clinic/Center | 2002 W Walnut St Ste 2, Lake Charles, LA 70601-5690 | 2011-03-29 |
| 1851526917 | Lcms Neurosurgical Institute of Lake Charles LLC | Clinic/Center | 2770 3rd Ave Ste 345, Lake Charles, LA 70601-8994 | 2009-05-19 |
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| 1730791831 | The Administrators of The Tulane Educational Fund | Clinic/Center | 200 Broadway Avenue, Suite 108, New Orleans, LA 70118 | 2020-08-19 |
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| 1063071918 | Medical Pioneers, LLC | Clinic/Center | 100 Mariners Blvd Ste 1b, Mandeville, LA 70448-6815 | 2019-06-12 |
| 1356906911 | Allied Medicine Inc | Clinic/Center | 620 Bayou Tortue, Rd Suite 1, Broussard, LA 70518 | 2019-05-08 |
| 1356808430 | Cenikor Foundation | Clinic/Center | 2414 Bunker Hill Dr Ste 100, Baton Rouge, LA 70808-3303 | 2019-02-26 |
| 1063983799 | Accessible Walk-in Clinic | Clinic/Center | 1206 J W Davis Dr Ste 102, Hammond, LA 70403-5953 | 2018-12-06 |
| 1235616194 | Pathways Addiction Recovery, LLC | Clinic/Center | 3801 Houma Blvd Ste 100, Metairie, LA 70006-4185 | 2018-07-24 |
| 1063915866 | Gulf Coast Medical Center | Clinic/Center | 51 Holmes Blvd Ste A, Terrytown, LA 70056-2592 | 2018-03-18 |
| 1437660115 | Edge Medical Services Inc. | Clinic/Center | 2100 E 70th St, Shreveport, LA 71105-5363 | 2017-10-20 |
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| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on CARDIAC CATH LAB OF LAKE CHARLES, LP.
| 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.