BOMBINAMD LLC – NPI #1427490937
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

BOMBINAMD LLC is an AHC clinic located in SHREVEPORT, LA. NPPES has assigned the NPI number 1427490937 to BOMBINAMD LLC on July 25, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOMBINAMD LLC below.

NPI Profile for
BOMBINAMD LLC

NPI Number
1427490937
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOMBINAMD LLC
Primary location
4140 HOLLYWOOD AVE
SUITE B-2
SHREVEPORT, LA 71109-7818
Phone: (318) 946-8183 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUYAH LOUD-DOCKETT
OWNER
Phone: (318) 946-8183
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 LA 15815R

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.