Provider Demographics
NPI:1942439278
Name:AXIS MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:AXIS MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:S
Authorized Official - Last Name:LACOMBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-427-9030
Mailing Address - Street 1:914 SOUTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570
Mailing Address - Country:US
Mailing Address - Phone:318-427-9030
Mailing Address - Fax:318-427-1818
Practice Address - Street 1:914 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570
Practice Address - Country:US
Practice Address - Phone:318-427-9030
Practice Address - Fax:318-427-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-08
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA400011658332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies