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Mary Bird Perkins Cancer Center

Organization Active NPI Clinical Medical Laboratory · Baton Rouge, LA

NPI 1295833580 · NPPES record last updated Aug 13, 2026

Key facts

NPI
1295833580
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
Legal business name
MARY BIRD PERKINS CANCER CENTER
Practice address
4950 Essen Lane
Baton Rouge, LA 70809
Phone
(225) 215-1223
Fax
(225) 766-0218
NPI assigned
Sep 20, 2006
Organization subpart
No

Authorized official

Name
Jacob Kraft
Title
Decision Support Manager
Phone
(225) 215-1281

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 140

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

View all 140

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0464589Franklin Medical Center
2106 Loop Road, Winnsboro, LA 71295		AccreditationFeb 27, 2027
19D0886998Mary Bird Perkins Cancer Center
4950 Essen Lane, Baton Rouge, LA 70809		Certificate of waiverJun 1, 2028
19D2278912Mary Bird Perkins
4950 Essen Lane, Suite 300, Baton Rouge, LA 70809		AccreditationFeb 20, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in LA, MS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070206000329 LA Part B Supplier - Radiation Therapy Center 4385646280 Receives reassigned benefits from 109 practitioners
Practice locations: Leesville, LA; Metairie, LA; Minden, LA; Natchitoches, LA; Opelousas, LA; Shreveport, LA; Slidell, LA; Springhill, LA…
O20190702001668 MS Part B Supplier - Radiation Therapy Center 4385646280 Receives reassigned benefits from 9 practitioners
Practice locations: Natchez, MS
O20231106000066 LA Part B Supplier - Independent Clinical Laboratory 4385646280 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA

National Provider Directory

Locations

10150 Highland Manor Dr
Ste 205
Tampa, FL 33610
Phone (813) 259-1013

3516 North Blvd
Alexandria, LA 71301

4951 Essen LN Ste 500
Baton Rouge, LA 70809

4950 Essen Ln
Ste 300
Baton Rouge, LA 70809
Phone (225) 214-6688

7777 Hennessy Blvd
Ste 612
Baton Rouge, LA 70808
Phone (225) 769-5656

5215 Essen Ln
Ste 200
Baton Rouge, LA 70809

39 Starbrush Cir
Covington, LA 70433
Phone (985) 871-4155

1203 S Tyler St
Covington, LA 70433
Phone (985) 875-2234

110 Lakeview Dr
Covington, LA 70433
Phone (985) 898-1940

1203 S Tyler St
Ste 150
Covington, LA 70433
Phone (225) 215-1309

1104 W Highway 30
Gonzales, LA 70737
Phone (225) 215-1321

8120 Main St
Ste 102A
Houma, LA 70360
Phone (985) 876-9045

166 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-3668

850 Olive St
Ste A
Shreveport, LA 71104
Phone (318) 222-3662

1570 Lindberg Dr
Ste 12
Slidell, LA 70458
Phone (985) 641-1963

1570 Lindberg Dr
Slidell, LA 70458
Phone (985) 400-5778

2106 Loop Rd
Ste B
Winnsboro, LA 71295
Phone (318) 338-3540

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085N0904X
Radiation Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085R0001X
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085R0202X
Clinical Medical Laboratory 291U00000X Yes

Addresses

Primary practice location

4950 Essen Lane
Baton Rouge, LA 70809

Mailing address

5215 Essen LN Ste 200
Baton Rouge, LA 70809-3543
Phone (225) 215-1281

Other practice location 1

2106 Loop Rd Ste Bb
Winnsboro, LA 71295-3345
Phone (318) 239-4860

Other providers in Baton Rouge, LA

All providers in Baton Rouge, LA · Clinical Medical Laboratory in Louisiana

Sources for this page

Verify at the official NPI Registry.