MEDICARE: OMEGA MED LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831293927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMEGA MED LLC

Provider Business Mailing Address
First Line	:	7819 MERCIER ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70128-1916
Country	:	US
Telephone Number	:	504-592-0344
Fax Number	:

Provider Business Practice Location Address
First Line	:	3308 TULANE AVE
Second Line	:	SUITE 410
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-7100
Country	:	US
Telephone Number	:	504-827-2923
Fax Number	:	504-582-7542

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. JOLANDA BERRY
Credential	:
Telephone Number	:	504-261-8014

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	01/13/2009

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Directions to “OMEGA MED LLC ” Practice Location

Language	Start Address	Practice Location

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