Provider Demographics
NPI:1730264326
Name:SARTIN, CAROL WEST (MD)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:WEST
Last Name:SARTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 73309
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70033-3309
Mailing Address - Country:US
Mailing Address - Phone:985-230-7263
Mailing Address - Fax:
Practice Address - Street 1:4648 I10 SERVICE ROAD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1225
Practice Address - Country:US
Practice Address - Phone:504-883-4800
Practice Address - Fax:504-883-5554
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA014222207ZC0500X, 207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1920215Medicaid
LA5M238Medicare PIN
E92692Medicare UPIN