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FREEDOM SPINE, LLC
NPI 1134650708
Specialist in Lacombe, LA

Active since March 24, 2017CLIA 19D2145125 · Waiver
29301 N DIXIE RANCH RD, LACOMBE, LA 70445(985) 871-4114(985) 871-4130 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Freedom Spine, Llc NPPES

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

FREEDOM SPINE, LLC (NPI 1134650708) is a healthcare organization registered as a specialist in Lacombe, Louisiana and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists John B Logan, Owner, as its authorized official.

NPPES Registry Identity

NPI1134650708
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFREEDOM SPINE, LLC
Location Address29301 N DIXIE RANCH RDLacombe, LA 70445-5403
Mailing Address29301 N Dixie Ranch RdLacombe, LA 70445-5403 · (985) 871-4114 · Fax (985) 871-4130
Phone(985) 871-4114
Fax(985) 871-4130
Organization SubpartNo
Authorized OfficialJohn B LoganOwner · (985) 871-4114
Enumeration DateMarch 24, 2017
✔ NPI 1134650708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in LA · MD.020254
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
29301 N DIXIE RANCH RD, Lacombe, LA 70445
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINF63325LA

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 of Waiver 19D2145125

Freedom Spine, LLC · Lacombe, LA
Active · expires Feb 29, 2028
CLIA Number19D2145125
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorJohn B. Logan
Laboratory Phone(985) 871-4114
Laboratory LocationFreedom Spine, LLC29301 N Dixie Ranch Rd, Lacombe, LA 70445
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

LORENZO BOYKIN FISHER APRN, FNP-C
Nurse Practitioner
29301 N DIXIE RANCH RD
LACOMBE, LA 70445
St. Tammany Parish (985) 871-4114
AMY ST. ROMAIN P.T.
Physical Therapist
29301 N DIXIE RANCH RD
LACOMBE, LA 70445
St. Tammany Parish (985) 871-4114
INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING
Prevention Professional
29301 N DIXIE RANCH RD
LACOMBE, LA 70445
St. Tammany Parish (985) 871-4114
DONALD DAVID DIETZE JR. MD
Neurological Surgery
29301 N DIXIE RANCH RD
LACOMBE, LA 70445
St. Tammany Parish (985) 871-4114
SPINE INNOVATIONS, LLC
Specialist
29301 N DIXIE RANCH RD
LACOMBE, LA 70445
St. Tammany Parish (985) 871-4114
JOHN BRISBANE LOGAN MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
29301 N DIXIE RANCH RD
LACOMBE, LA 70445
St. Tammany Parish (985) 871-4114
DIETZE & LOGAN SPINE SPECIALIST, LLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
29301 N DIXIE RANCH RD
LACOMBE, LA 70445
St. Tammany Parish (985) 871-4114
PROF. LISA ANN GUST P. T.
Physical Therapist
29301 N DIXIE RANCH RD
LACOMBE, LA 70445
St. Tammany Parish (985) 871-4114

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 Freedom Spine, LLC's NPI number?

The NPI number for Freedom Spine, LLC is 1134650708. It was assigned to this organization in the NPPES registry on March 24, 2017.

Where is Freedom Spine, LLC located?

Freedom Spine, LLC is located at 29301 N Dixie Ranch Rd, Lacombe, LA 70445. The listed phone number is (985) 871-4114.

What is Freedom Spine, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Freedom Spine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2145125) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Freedom Spine, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Freedom Spine, LLC 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 Freedom Spine, LLC was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.