Provider Demographics
NPI:1982151684
Name:DOIR MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:DOIR MEDICAL SERVICES LLC
Other - Org Name:DOIR MEDICAL SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-313-0658
Mailing Address - Street 1:1500 LAFAYETTE ST STE 140
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70053-5758
Mailing Address - Country:US
Mailing Address - Phone:504-533-9152
Mailing Address - Fax:504-533-9154
Practice Address - Street 1:1500 LAFAYETTE ST STE 140
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70053-5758
Practice Address - Country:US
Practice Address - Phone:504-533-9152
Practice Address - Fax:504-533-9154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-09
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health