Provider Demographics
NPI:1629248455
Name:MWBOT LLC
Entity Type:Organization
Organization Name:MWBOT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATSON
Authorized Official - Suffix:
Authorized Official - Credentials:LOTR
Authorized Official - Phone:318-381-9446
Mailing Address - Street 1:103 ROBERTA DR
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-2125
Mailing Address - Country:US
Mailing Address - Phone:318-381-9446
Mailing Address - Fax:318-410-4351
Practice Address - Street 1:103 ROBERTA DR
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-2125
Practice Address - Country:US
Practice Address - Phone:318-381-9446
Practice Address - Fax:318-410-4351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAZ11929174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty