| NPI | 1679624530 |
|---|---|
| Other Name | BOL MEDICAL |
| Entity Type | Organization |
| Authorized Contact | AJSA NIKOLIC Owner 504-837-4208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care (Licence: LA LA 025945) |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: LA LA 025945) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-03-07 |