Provider Demographics
NPI:1588836191
Name:MEDICAL MONITORING OF LOUISIANA, LLC
Entity Type:Organization
Organization Name:MEDICAL MONITORING OF LOUISIANA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARTELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-445-2900
Mailing Address - Street 1:1222 TOLEDANO ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3431
Mailing Address - Country:US
Mailing Address - Phone:504-289-5005
Mailing Address - Fax:504-897-9369
Practice Address - Street 1:4636 SANFORD ST STE 100
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-5335
Practice Address - Country:US
Practice Address - Phone:318-445-2900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies