Provider Demographics
NPI:1679715098
Name:ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND
Entity Type:Organization
Organization Name:ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND
Other - Org Name:TULANE UNIVERSITY SCHOOL OF MEDICINE HISTOCOMPATIBILITY & IMMUNOGENETI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT CONTROLLER & TUHSC DIRECT
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:BS, CPA
Authorized Official - Phone:504-988-2959
Mailing Address - Street 1:1430 TULANE AVE
Mailing Address - Street 2:DEPARTMENT OF MEDICINE, SL-75
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2632
Mailing Address - Country:US
Mailing Address - Phone:504-988-5259
Mailing Address - Fax:504-988-3636
Practice Address - Street 1:1700 PERDIDO ST
Practice Address - Street 2:ROOMS 308/311
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-1290
Practice Address - Country:US
Practice Address - Phone:504-988-5259
Practice Address - Fax:504-988-3636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-31
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N/A291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA19HL05Medicare Oscar/Certification