Petvet DX Lab Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PETVET DX LAB SERVICES LLC

Practice address

1901 Dumaine Street
New Orleans, LA 70116

Phone

(407) 873-7213

NPI assigned

Dec 16, 2021

Organization subpart

No

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

Authorized official

Name

David Joseph Kutrucz

Title

President

Phone

(407) 873-7213

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1053070177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 DUMAINE STREET",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 DUMAINE STREET",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70116",
            "telephone_number": "407-873-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETVET DX LAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "KUTRUCZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-873-7213"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian L Pettiford, MD
• Tyler Pettigrew
• Timothy William Pettitt, MD
• Cynthia L Pettus, M.ED., PLPC, NCC
• Camille Petty
• George Peyton
• Nathaniel L Peyton, M.D.
• Eric Steven Pezant, CRNA
• Meaghan Elizabeth Pezant, CRNA
• Katherine Ann Pfeiffenberger, LCSW

• Clinical Medical Laboratory in New Orleans, LA
• Providers in New Orleans, 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 Dec 16, 2021; 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.