Provider Demographics
NPI:1386818151
Name:ASD MANAGEMENT
Entity Type:Organization
Organization Name:ASD MANAGEMENT
Other - Org Name:DME MEDICAL SUPPLY CO.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUJEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-710-0526
Mailing Address - Street 1:65266 BEAVER BALL RD
Mailing Address - Street 2:
Mailing Address - City:LACOMBE
Mailing Address - State:LA
Mailing Address - Zip Code:70445-5000
Mailing Address - Country:US
Mailing Address - Phone:985-710-0526
Mailing Address - Fax:985-882-8304
Practice Address - Street 1:65266 BEAVER BALL RD
Practice Address - Street 2:
Practice Address - City:LACOMBE
Practice Address - State:LA
Practice Address - Zip Code:70445-5000
Practice Address - Country:US
Practice Address - Phone:985-710-0526
Practice Address - Fax:985-882-8304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies