| Axia Medical | |
|
37325 Market Place Dr Ste D Prairieville LA 70769-3499 | |
| (337) 580-9171 | |
| Not Available |
| Full Name | Axia Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 37325 Market Place Dr Ste D, Prairieville, Louisiana |
| Authorized Official Name and Position | Lloyd Leonards (OWNER) |
| Authorized Official Contact | 3375809171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Axia Medical 37325 Market Place Dr Ste D Prairieville LA 70769-3499 Ph: () - | Axia Medical 37325 Market Place Dr Ste D Prairieville LA 70769-3499 Ph: (337) 580-9171 |
| NPI Number | 1154077535 |
|---|---|
| Provider Enumeration Date | 02/24/2022 |
| Last Update Date | 02/24/2022 |
| Medicare PECOS PAC ID | 5092102608 |
|---|---|
| Medicare Enrollment ID | O20220429001329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154077535 | NPI | - | NPPES |
| 1B9754 | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Anna C Kosztowski |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609219260 PECOS PAC ID: 7012291099 Enrollment ID: I20180928001479 |
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