Provider Demographics
NPI:1336106970
Name:MET-TEST OF LOUISIANA, L.L.C.
Entity Type:Organization
Organization Name:MET-TEST OF LOUISIANA, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUNDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-636-3060
Mailing Address - Street 1:1117 PERIMETER CTR W
Mailing Address - Street 2:SUITE W-211
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-5444
Mailing Address - Country:US
Mailing Address - Phone:678-636-3060
Mailing Address - Fax:678-636-3086
Practice Address - Street 1:1117 PERIMETER CTR W
Practice Address - Street 2:SUITE W-211
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-5444
Practice Address - Country:US
Practice Address - Phone:678-636-3060
Practice Address - Fax:678-636-3086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2278P1006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Function TechnologistGroup - Multi-Specialty
Not Answered246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5DA07Medicare ID - Type UnspecifiedMEDICARE # SITE 28