Healthcare Provider Details

I. General information

NPI: 1689352148
Provider Name (Legal Business Name): PRIME BILLING SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 07/06/2023
Certification Date: 07/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 HIGHLANDIA DR
BATON ROUGE LA
70810-5911
US

IV. Provider business mailing address

655 HIGHLANDIA DR
BATON ROUGE LA
70810-5911
US

V. Phone/Fax

Practice location:
  • Phone: 504-535-7213
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RYAN BOUDREAU
Title or Position: MANAGER
Credential:
Phone: 504-535-7213