OrganizationMid-Louisiana Medical, Inc.Durable Medical Equipment & Medical SuppliesSuppliersPractice Address2230 S Macarthur Dr, Alexandria, LA 71301-3057(318) 443-7867(318) 445-4477PECOS EnrollmentBased on the most recent information from CMS, provider Mid-Louisiana Medical, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1164645099Provider TypeOrganizationFull NameMid-Louisiana Medical, Inc.SubpartNoEnumeration Date4/10/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address2230 S Macarthur Dr, Alexandria, LA 71301-3057Phone(318) 443-7867FaxUnlisted FaxMailing LocationMailing AddressPO Box 13524, Alexandria, LA 71315-3524Phone(318) 445-4477FaxUnlisted FaxAuthorized OfficialNameRayford, Robert A. (Owner)Phone(318) 443-7867Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID31693DescriptionOtherIssuerBLUE CROSS BLUE SHIELDLouisianaID1689637DescriptionMedicaidIssuerUnlistedLouisiana