Provider Demographics
NPI:1619028164
Name:NEW ORLEANS URGENT CARE L.L.C.
Entity Type:Organization
Organization Name:NEW ORLEANS URGENT CARE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AJSA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIKOLIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-552-2433
Mailing Address - Street 1:900 MAGAZINE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-3814
Mailing Address - Country:US
Mailing Address - Phone:504-552-2433
Mailing Address - Fax:504-552-2414
Practice Address - Street 1:900 MAGAZINE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-3814
Practice Address - Country:US
Practice Address - Phone:504-552-2433
Practice Address - Fax:504-552-2414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA 025945261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1140406Medicaid
LALA025945OtherLICENCE
LALA025945OtherLICENCE
LA214439148OtherDR.AJSA NIKOLIC SOC. SEC.
LA214439148OtherDR.AJSA NIKOLIC SOC. SEC.
LA5CX14Medicare PIN