| Organization Name: | ADVANCED SPORTS INJURY & SPINAL CARE LLC |
| NPI Number: | 1275780181 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA G GODDARD (OFFICE MGR) |
| Mailing Address: | 1322 Elton Rd Ste K Jennings |
| State: | LA US |
| Postal Code: | 705464100 |
| Phone Number: | 3378242901 |
| Fax Number: | |
| NPI Enumeration Date: | 08/21/2008 |
| NPI Last Update Date: | 09/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 305R00000X |
| License Number: | 1430 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Preferred Provider Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |