LOUISIANA KIDNEY UPDATE, LLC – NPI #1104014349
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

LOUISIANA KIDNEY UPDATE, LLC is a provider located in LAFAYETTE, LA. NPPES has assigned the NPI number 1104014349 to LOUISIANA KIDNEY UPDATE, LLC on October 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 8 years ago on Mar 17, 2018. 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 LOUISIANA KIDNEY UPDATE, LLC below.

NPI Profile for
LOUISIANA KIDNEY UPDATE, LLC

NPI Number
1104014349
Enumeration Date

(more than 18 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
LOUISIANA KIDNEY UPDATE, LLC
Primary location
4811 AMBASSADOR CAFFERY PKWY FL 4
LAFAYETTE, LA 70508-7265
Phone: (337) 839-9880 Fax:
1 Other location(s):
202 Perdido Ln
Lafayette, LA 70503-5828
Phone: (337) 291-2455
Mailing address
523 BEVERLY DR
LAFAYETTE, LA 70503-3113
Phone: (337) 234-5541 Fax: (337) 593-8330
Organization Subpart
No
Authorized Official
ANTHONY BLALOCK
PARTNER/PHYSICIAN
Phone: (337) 257-4918
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
207RN0300X
- Internal Medicine / Nephrology (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.