Provider Demographics
NPI:1770641375
Name:DIABETES DME SYSTEMS LLC
Entity Type:Organization
Organization Name:DIABETES DME SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CAHALAN
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:SLAUGHTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-838-0208
Mailing Address - Street 1:3212B JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001
Mailing Address - Country:US
Mailing Address - Phone:504-838-0208
Mailing Address - Fax:504-833-8629
Practice Address - Street 1:3212B JOHNSON ST
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-5227
Practice Address - Country:US
Practice Address - Phone:504-838-0208
Practice Address - Fax:504-833-8629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1545813Medicaid
LA1545813Medicaid