ADVANCED HEART AND VASCULAR CENTER – NPI #1376055897
Clinic/Center

ADVANCED HEART AND VASCULAR CENTER is an AHC clinic located in SHREVEPORT, LA. NPPES has assigned the NPI number 1376055897 to ADVANCED HEART AND VASCULAR CENTER on October 25, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED HEART AND VASCULAR CENTER” is a dba name, the actual legal business name for this organization is NORTHERN LOUISIANA CARDIAC SERVICES LLC. 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 9 years ago on Nov 02, 2017. 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 ADVANCED HEART AND VASCULAR CENTER below.

NPI Profile for
NORTHERN LOUISIANA CARDIAC SERVICES LLC

NPI Number
1376055897
Enumeration Date

(more than 8 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
NORTHERN LOUISIANA CARDIAC SERVICES LLC
Doing Business As (dba): ADVANCED HEART AND VASCULAR CENTER
Primary location
1453 E BERT KOUNS INDUSTRIAL LOOP STE 220
SHREVEPORT, LA 71105-6810
Phone: (318) 629-3170 Fax: (318) 629-3171
Mailing address
PO BOX 51008
SHREVEPORT, LA 71135-1008
Phone: (318) 629-3170 Fax:
Organization Subpart
No
Authorized Official
ISAAC PALMER
BOARD MEMBER
Phone: (318) 681-5054
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
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

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.