Organization

Om Medical Llc

Clinic/Center in Covington, LA(View on Map)

Legal Business Name

Om Medical Llc

NPI Number

1316652837

NPI Type

Organization

Enumeration Date

01/18/2023

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

706 W 15TH AVE
706 W 15TH AVE

City

Covington
Covington

State

LA
LA

Postal Code

70433-2416
70433-2416

Country

US
US

Telephone Number

N/A
(985) 338-2596

Authorized Official

Name

Olivia Mcdonald

Title or Position

NP/OWNER

Telephone Number

(318) 884-3840

Health Information Exchange

Endpoint Type

CONNECT

Endpoint

Athena

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

706 W 15th AveCovington, LA704332416US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/18/2023

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