Provider Demographics
NPI:1932390770
Name:SOUTHEASTERN CARDIOVASCULAR CONSULTANTS-LLC
Entity Type:Organization
Organization Name:SOUTHEASTERN CARDIOVASCULAR CONSULTANTS-LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:D
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-767-1151
Mailing Address - Street 1:7777 HENNESSY BLVD
Mailing Address - Street 2:SUITE 8000
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4300
Mailing Address - Country:US
Mailing Address - Phone:225-767-1151
Mailing Address - Fax:225-769-7348
Practice Address - Street 1:7777 HENNESSY BLVD
Practice Address - Street 2:SUITE 8000
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4300
Practice Address - Country:US
Practice Address - Phone:225-767-1151
Practice Address - Fax:225-769-7348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty