OrganizationActive
Immunization Services of Louisiana, LLC
NPI 1407120785 · Community Health Clinic/Center · Metairie, LA
Provider details
- NPI number
- 1407120785
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregory Hedrick, Owner(504) 430-3397
- License
- 17258 (LA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1608 Division St
Metairie, LA 70001-2712
Phone: (504) 430-3397
Fax: (504) 828-7640
Approximate (ZIP-level) locationGet directions
Mailing address
1608 Division St
Metairie, LA 70001-2712
Registry dates
- Enumerated
- 2012-03-03
- Last updated
- 2012-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.