Provider Demographics
NPI:1700889979
Name:BIO-MED OF LOUISIANA, INC.
Entity Type:Organization
Organization Name:BIO-MED OF LOUISIANA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-889-2203
Mailing Address - Street 1:PO BOX 73704
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70033-3704
Mailing Address - Country:US
Mailing Address - Phone:504-889-2203
Mailing Address - Fax:504-889-2230
Practice Address - Street 1:3105 DAVID DR
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003-4554
Practice Address - Country:US
Practice Address - Phone:504-889-2203
Practice Address - Fax:504-889-2230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
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
LA1923133Medicaid
LA0238740001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER