Healthcare Provider Details

I. General information

NPI: 1124357504
Provider Name (Legal Business Name): PINNACLE MEDICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2009
Last Update Date: 12/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72108 RAMOS AVE SUITE A
COVINGTON LA
70433-9501
US

IV. Provider business mailing address

PO BOX 9026
MANDEVILLE LA
70470-9026
US

V. Phone/Fax

Practice location:
  • Phone: 985-674-2801
  • Fax:
Mailing address:
  • Phone: 985-674-2801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number
License Number State

VIII. Authorized Official

Name: MR. GEORGE E BAIN
Title or Position: PRESIDENT
Credential:
Phone: 985-674-2801