Active NPI
Cor Medical LLC
- Internal Medicine Physician
- Monroe, LA
National Provider Identifier
1265804181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD 15498R
- Legal business name
- COR MEDICAL LLC
- Practice address
- 100 Centurylink Dr
Mailstop La00010100-153
Monroe, LA 71203-2041 - Phone
- (318) 362-1500
- Fax
- (318) 361-0482
- NPI assigned
- Oct 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark C Napoli, MD
- Title
- Owner
- Phone
- (318) 362-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD 15498R | LA | Primary |
Addresses
Primary practice location
100 Centurylink Dr
Mailstop La00010100-153
Monroe, LA 71203-2041
Mailing address
100 Centurylink Dr
Mailstop La00010100-153
Monroe, LA 71203-2041
Phone (318) 362-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1464279 | Medicaid | LA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2195707 | Cor Medical Clinical | Certificate of waiver | Oct 11, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Cor Medical Broomfield
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Littleton, CO
- NPI 1699252619
-
- Internal Medicine Physician
- Broomfield, CO
- NPI 1841822277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580774400000",
"number": "1265804181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CENTURYLINK DR",
"address_2": "MAILSTOP LA00010100-153",
"city": "MONROE",
"state": "LA",
"postal_code": "712032041",
"telephone_number": "318-362-1500",
"fax_number": "318-807-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CENTURYLINK DR",
"address_2": "MAILSTOP LA00010100-153",
"city": "MONROE",
"state": "LA",
"postal_code": "712032041",
"telephone_number": "318-362-1500",
"fax_number": "318-361-0482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COR MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-30",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A",
"authorized_official_last_name": "NAPOLI",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-362-1500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "LA",
"license": "MD 15498R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1464279",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.