{"npi":"1740480482","type":"NPI-2","status":"active","name":{"display":"Innovative Diabetes Supply, LLC","other":[],"organization_name":"INNOVATIVE DIABETES SUPPLY, LLC","authorised_official":"Cynthia Pazos"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":"LA","license":"16193382"}]},"addresses":[{"purpose":"LOCATION","street_1":"824 ELMWOOD PARK BLVD STE 155","city":"HARAHAN","state":"LA","postal_code":"701233322","country_code":"US","phone":"5047085848","fax":"5047085846"},{"purpose":"MAILING","street_1":"358 WALTER RD","city":"RIVER RIDGE","state":"LA","postal_code":"701233225","country_code":"US","phone":"5042897345","fax":"5046673350"}],"license":{"state":"LA","number":"16193382"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-07-20","last_updated":"2023-11-22","_meta":{"source":"NPPES","snapshot_date":"2023-11-22","doc_url":"https://findmynpi.com/api"}}