Organization Active NPI

Clinicore

  • Clinical Medical Laboratory
  • Mandeville, LA
National Provider Identifier
1073023487
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
19D2139173 Issued in LA
Legal business name
CLINICORE
Practice address
800 N Causeway Blvd Ste 300
Mandeville, LA 70448-4664
Phone
(985) 869-5163
NPI assigned
Oct 11, 2017
Last updated
Feb 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Kris Franklin
Title
President
Phone
(732) 543-6891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 19D2139173 LA Primary

Addresses

Primary practice location

800 N Causeway Blvd Ste 300
Mandeville, LA 70448-4664

Mailing address

800 N Causeway Blvd Ste 300
Mandeville, LA 70448-4664
Phone (985) 869-5163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180419001254 LA Part B Supplier - Independent Clinical Laboratory 2062775331 Receives reassigned benefits from 1 practitioner
Practice locations: Mandeville, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2139173Clinicore800 North Causeway, Suite 300, Mandeville, LA 70448ComplianceSep 11, 2026

National Provider Directory

National Provider Directory

Locations

800 N Causeway Blvd
#300
Mandeville, LA 70448
Phone (985) 807-4364

800 N Causeway Blvd
Ste 3A
Mandeville, LA 70448
Phone (985) 298-2739

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1073023487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N CAUSEWAY BLVD STE 300",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484664",
            "telephone_number": "985-869-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N CAUSEWAY BLVD STE 300",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484664",
            "telephone_number": "985-869-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-543-6891"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": "19D2139173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.