Provider Demographics
NPI:1013587369
Name:MJVARON LLC
Entity Type:Organization
Organization Name:MJVARON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:VARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-380-9031
Mailing Address - Street 1:3501 SEVERN AVE STE 3BC
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-3451
Mailing Address - Country:US
Mailing Address - Phone:504-380-9031
Mailing Address - Fax:
Practice Address - Street 1:3501 SEVERN AVE STE 3BC
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3451
Practice Address - Country:US
Practice Address - Phone:504-380-9031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies