Pathology Group of Louisiana, a Professional Medical Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PATHOLOGY GROUP OF LOUISIANA, A PROFESSIONAL MEDICAL CORPORATION

Practice address

5339 Odonovan Dr
Baton Rouge, LA 70808-4388

Phone

(225) 766-4999

Fax

(225) 767-4704

NPI assigned

Aug 15, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Hood Landry

Title

Compliance Officer

Phone

(225) 766-4999

Specialties & licenses 2

Addresses

Other identifiers 5

Tax ID family

Pathology and Nuec Med2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pathology Group of Louisiana, a Professional Medical Corporation

  • Clinical Medical Laboratory
  • Baton Rouge, LA
  • NPI 1194978122
  NPD tax ID

Locations

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1104472117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5339 ODONOVAN DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084388",
            "telephone_number": "225-766-4999",
            "fax_number": "225-767-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5339 ODONOVAN DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084388",
            "telephone_number": "225-766-4999",
            "fax_number": "225-767-4704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2325 N Hullen St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700016915",
            "country_code": "US",
            "telephone_number": "225-766-4999",
            "fax_number": "225-767-4704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHOLOGY GROUP OF LOUISIANA, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "HOOD",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "225-766-4999",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA (GROUP)",
            "identifier": "0008291200",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184781",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "231798",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS9840",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OTHER",
            "identifier": "1794007",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianna Paten
• Sharon Kay Pater, RPH
• Martha S Paterson, M.D.
• Pathology Associates of Southern Louisiana
• Pathology Group of Louisiana, a Professional Medical Corporation
• Pathology Group of Louisiana, a Professional Medical Corporation
• Pathology Laboratory Consultants Apmc
• Pathway Family Health Center, LLC
• Pathways to Better Living Behavioral Health, LLC
• Patient Medical Transportation LLC

• Clinical Medical Laboratory in Baton Rouge, LA
• Providers in Baton Rouge, 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 Aug 15, 2019; 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.