OrganizationUrosource LlcDurable Medical Equipment & Medical SuppliesSuppliersPractice Address401 Audubon Blvd, Suite 209, Lafayette, LA 70503(337) 739-2239PECOS EnrollmentBased on the most recent information from CMS, provider Urosource Llc 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 3 days ago.Profile DetailsProvider ID1033140132Provider TypeOrganizationFull NameUrosource LlcSubpartNoEnumeration Date7/6/2006Last Updated9/4/2009Contact InformationPractice LocationPractice Address401 Audubon Blvd, Suite 209, Lafayette, LA 70503Phone(337) 739-2239Fax(337) 266-9598Mailing LocationMailing Address127 S. Southlawn Dr, Lafayette, LA 70503-3337Phone(337) 739-2239Fax(337) 266-9598Authorized OfficialNameFalter, Carissa Kerner (Owner/Manager)Phone(337) 739-2239Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1706159DescriptionMedicaidIssuerUnlistedLouisiana