Provider Demographics
NPI:1700124351
Name:SPECIALTY MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:SPECIALTY MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:L
Authorized Official - Last Name:GUIDRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-293-4000
Mailing Address - Street 1:106 METAIRIE LAWN DR STE 220
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-5467
Mailing Address - Country:US
Mailing Address - Phone:504-293-4000
Mailing Address - Fax:504-324-0721
Practice Address - Street 1:106 METAIRIE LAWN DR STE 220
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-5467
Practice Address - Country:US
Practice Address - Phone:504-293-4000
Practice Address - Fax:504-324-0721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies