Provider Demographics
NPI:1750822151
Name:CHECK POINT URGENT CARE OF CROWLEY LLC
Entity type:Organization
Organization Name:CHECK POINT URGENT CARE OF CROWLEY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEYED
Authorized Official - Middle Name:ALIREZA
Authorized Official - Last Name:SADEGHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-381-6758
Mailing Address - Street 1:104 ALBERTSON PKWY
Mailing Address - Street 2:SUITE 6
Mailing Address - City:BROUSSARD
Mailing Address - State:LA
Mailing Address - Zip Code:70518-5325
Mailing Address - Country:US
Mailing Address - Phone:337-330-2339
Mailing Address - Fax:337-330-2352
Practice Address - Street 1:753 ODD FELLOWS RD STE F
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-2200
Practice Address - Country:US
Practice Address - Phone:337-514-5233
Practice Address - Fax:337-514-5235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-17
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2456822Medicaid