Lab Site Clinical LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LAB SITE CLINICAL LLC

Practice address

1799 Stumpf Blvd Ste 3
Terrytown, LA 70056-3950

Phone

(504) 237-2189

Fax

(504) 241-1649

NPI assigned

Feb 18, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Gail J. ProvostNPI 1174166748

Title

Ceo

Phone

(504) 237-2189

Specialties & licenses 1

Addresses

Other names 1

• Lab Site Clinical LLC Former legal business name

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gail Jones Provost

  • Clinical Laboratory Director (Non-physician)
  • New Orleans, LA
  • NPI 1174166748
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1013540145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD STE 3",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563950",
            "telephone_number": "504-237-2189",
            "fax_number": "504-241-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD STE 3",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700563950",
            "telephone_number": "504-237-2189",
            "fax_number": "504-241-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB SITE CLINICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "PROVOST",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-237-2189",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1799 Stumpf Blvd Ste 3",
            "city": "Terrytown",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700563950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lab Site Clinical LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Julie Ketchens
• Suzanne Key, CRNP
• Daniel T Khong, O.D.
• Klinger & Marshall Dermatology, LLC
• Jamie Hoitien DO Kuo, MD
• Candice Renee Lampkin, LPN, CCST
• Ariel Landry, MS, PLPC
• Dayni Noel Langoni, P.T.
• Jennifer Latham
• Jolanda Lawson

• Clinical Medical Laboratory in Terrytown, LA
• Providers in Terrytown, LA by specialty
• Clinical Medical Laboratory in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.