Provider Demographics
NPI:1558027201
Name:NEW FINO LLC
Entity Type:Organization
Organization Name:NEW FINO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR/PR ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:THIBODEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-892-7621
Mailing Address - Street 1:800 N CAUSEWAY BLVD STE 2C
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-4664
Mailing Address - Country:US
Mailing Address - Phone:985-892-7621
Mailing Address - Fax:
Practice Address - Street 1:800 N CAUSEWAY BLVD STE 2C
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-4664
Practice Address - Country:US
Practice Address - Phone:985-892-7621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0006XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Fertility Facility