Healthcare Provider Details

I. General information

NPI: 1538078043
Provider Name (Legal Business Name): PATHWAY MEDICAL EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5340 CYPRESS ST
WEST MONROE LA
71291-7506
US

IV. Provider business mailing address

5340 CYPRESS ST
WEST MONROE LA
71291-7506
US

V. Phone/Fax

Practice location:
  • Phone: 318-329-6001
  • Fax: 318-329-6015
Mailing address:
  • Phone: 318-329-6001
  • Fax: 318-329-6015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: NICHOLAS OLSON
Title or Position: OWNER
Credential:
Phone: 318-329-6001