Pacific Dialysis Center LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

019120 Issued in LA

Legal business name

PACIFIC DIALYSIS CENTER LLC

Practice address

9444 Florida Blvd
Baton Rouge, LA 70815-1123

Phone

(225) 268-4575

Fax

(225) 927-7087

NPI assigned

Aug 4, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Rene O RandleNPI 1427298397

Title

President/Owner

Phone

(225) 268-4575

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Rene O Randle, MD

  • Specialist
  • Baton Rouge, LA
  • NPI 1427298397
  NPD (past) Authorized official

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1114158425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9444 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708151123",
            "telephone_number": "225-268-4575",
            "fax_number": "225-927-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9444 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708151123",
            "telephone_number": "225-268-4575",
            "fax_number": "225-927-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "RANDLE",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "225-268-4575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": "019120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P&L Medical Services, Inc.
• Jaliah Elice Pabon
• Leah Pace
• Jhennifer Pacheco Echavarria, LMSW
• Amanda Pacheco, SLP
• Jo Ann Pack Quincy
• Ashley Pack, LMSW
• Kelley B Padgett
• Kiran K Padigala, MD
• Sara Padilla, ATC

• 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 4, 2009; 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.