SRC International LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

SRC INTERNATIONAL LLC

Practice address

144 Banks Ave
Lafayette, LA 70506-1988

Phone

(337) 504-3596

NPI assigned

Jun 19, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Rachel Cooper

Title

Member

Phone

(337) 504-3596

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.

• Rachel Courville

  • Contractor
  • Lafayette, LA
  • NPI 1225459613
  NPD (past)

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

{
    "created_epoch": "1276905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276905600000",
    "number": "1134440514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 CAMELLIA DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 BANKS AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705061988",
            "telephone_number": "337-504-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRC INTERNATIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-19",
        "last_updated": "2010-06-19",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "337-504-3596",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalif Stephon Spraggins
• Brandon Roshawn Spriggs
• Breanna Michelle Spriggs, LPC-S
• David Andrew Spruill, PH.D., LMFT-S, LPC-S
• Kelly Lanclos Spurgeon, ADULT NURSE PRACTITI
• Praneet Kumar Srisailam
• Dana St Julien, LCSW
• Elizabeth St Julien
• St Luke'S Specialty Hospital of Sunset, LLC
• St Marys Imaging Center II

• Contractor in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Contractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2010; 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.