Provider Demographics
NPI:1457130635
Name:THE QUAD USA LLC
Entity Type:Organization
Organization Name:THE QUAD USA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:JURISICH
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:318-572-5222
Mailing Address - Street 1:1021 E SAINT MARY BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2347
Mailing Address - Country:US
Mailing Address - Phone:337-999-7823
Mailing Address - Fax:
Practice Address - Street 1:1021 E SAINT MARY BLVD STE A
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2347
Practice Address - Country:US
Practice Address - Phone:337-999-7823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-26
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty