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MED ED OF LOUISIANA, INC.
NPI 1114086576
Family Medicine in Breaux Bridge, LA

Active since December 08, 2006CLIA 19D0976794 · Microscopy
209 CHAMPAGNE BLVD., BREAUX BRIDGE, LA 70517(337) 332-0222(337) 332-1102 Get Directions Write a Review

NPPES record last updated: December 31, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Med Ed Of Louisiana, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MED ED OF LOUISIANA, INC. (NPI 1114086576) is a healthcare organization registered as a family medicine in Breaux Bridge, Louisiana and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through August 14, 2026 and lists Jahanyar Khorsandi, President, as its authorized official.

NPPES Registry Identity

NPI1114086576
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMED ED OF LOUISIANA, INC.
Location Address209 CHAMPAGNE BLVD.Breaux Bridge, LA 70517-3700
Mailing Address209 Champagne BlvdBreaux Bridge, LA 70517-3700 · (337) 332-0222 · Fax (337) 332-1102
Phone(337) 332-0222
Fax(337) 332-1102
Organization SubpartNo
Authorized OfficialJahanyar KhorsandiPresident · (337) 332-0222
Enumeration DateDecember 8, 2006
Last NPPES UpdateDecember 31, 2015
✔ NPI 1114086576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 023722
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
209 CHAMPAGNE BLVD., Breaux Bridge, LA 70517
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 19D0976794

Med Ed Of Louisiana, Inc · Breaux Bridge, LA
Active · expires Aug 14, 2026
CLIA Number19D0976794
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2024
Certificate Expiration DateAugust 14, 2026
Laboratory DirectorJahanyar Khorsandi, MD
Laboratory Phone(337) 332-0222
Laboratory LocationMed Ed Of Louisiana, Inc209 Champagne Blvd, Breaux Bridge, LA 70517
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAHANYAR KHORSANDI M.D.
Family Medicine
209 CHAMPAGNE BLVD.
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 332-0222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Med Ed Of Louisiana, Inc.'s NPI number?

The NPI number for Med Ed Of Louisiana, Inc. is 1114086576. It was assigned to this organization in the NPPES registry on December 8, 2006.

Where is Med Ed Of Louisiana, Inc. located?

Med Ed Of Louisiana, Inc. is located at 209 Champagne Blvd., Breaux Bridge, LA 70517. The listed phone number is (337) 332-0222.

What is Med Ed Of Louisiana, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Med Ed Of Louisiana, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 19D0976794) is associated with this NPI, valid through August 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Med Ed Of Louisiana, Inc. accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Med Ed Of Louisiana, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Med Ed Of Louisiana, Inc. was last updated on December 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.