REGIONAL UROLOGY ASC LLC – NPI #1265437743
Clinic/Center

REGIONAL UROLOGY ASC LLC is an AHC clinic located in SHREVEPORT, LA. NPPES has assigned the NPI number 1265437743 to REGIONAL UROLOGY ASC LLC on June 20, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 4 years ago on Jan 07, 2022. 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 REGIONAL UROLOGY ASC LLC below.

NPI Profile for
REGIONAL UROLOGY ASC LLC

NPI Number
1265437743
Enumeration Date

(about 21 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
REGIONAL UROLOGY ASC LLC
Primary location
255 BERT KOUNS LOOP
SHREVEPORT, LA 71106-8150
Phone: (318) 683-0411 Fax: (318) 603-5461
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THOMAS PALMER
BOARD MEMBER
Phone: (318) 683-0411
Updated
Certification Date
Jan 07, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for REGIONAL UROLOGY ASC LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS OF LALA20117
OTHERRAILROAD MEDICARE490004967
MEDICAIDLA1180793
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
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 LA 100

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.