PERFUSION VASCULAR VIDALIA LLC

VIDALIA, LA
NPI1356875637
Entity TypeOrganization
Authorized ContactSHAUN R CARPENTER
Owner
985-892-7070
Organization Subpart ?No
Primary Taxonomy2086S0129X 
Enumeration Date2017-04-13
Last Update Date2021-06-25
Business Address
PERFUSION VASCULAR VIDALIA LLC
107 FRONT ST
VIDALIA, LA 71373-2836
Phone number: 985-892-7070
Mailing Address
PERFUSION VASCULAR VIDALIA LLC
PO BOX 1089
HAMMOND, LA 70404
Phone number: 985-892-7070