Accumed of South Louisiana, L.L.C.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

1000686651 Issued in LA

Legal business name

ACCUMED OF SOUTH LOUISIANA, L.L.C.

Practice address

7385 Alberta Dr
Baton Rouge, LA 70808-4102

Phone

(225) 706-1101

Fax

(225) 663-6778

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Paul J Moran, MS

Title

President

Phone

(225) 706-1101

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1174577860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7385 ALBERTA DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084102",
            "telephone_number": "225-706-1101",
            "fax_number": "225-663-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7385 ALBERTA DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084102",
            "telephone_number": "225-706-1101",
            "fax_number": "225-663-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCUMED OF SOUTH LOUISIANA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-706-1101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "LA",
            "license": "1000686651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physiological Laboratory in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.