NPIMap

Organization Active NPI

Louisiana Coagulation Laboratory, Inc

  • Clinical Medical Laboratory
  • Covington, LA
National Provider Identifier
1306928155
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LOUISIANA COAGULATION LABORATORY, INC
Practice address
71250 Hendry Ave
Covington, LA 70433-8849
Phone
(985) 893-6999
Fax
(985) 893-0590
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jennifer Kay Levens, BS, MT(ASCP)
Title
Laboratory Manager
Phone
(985) 893-6999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X LA Primary

Addresses

Primary practice location

71250 Hendry Ave
Covington, LA 70433-8849

Mailing address

71250 Hendry Ave
Covington, LA 70433-8849
Phone (985) 893-6999

Other identifiers 1

IdentifierTypeStateIssuer
3798001OtherLACOLL. AMER. PATHOLOGISTS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306928155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71250 HENDRY AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338849",
            "telephone_number": "985-893-6999",
            "fax_number": "985-893-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71250 HENDRY AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338849",
            "telephone_number": "985-893-6999",
            "fax_number": "985-893-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA COAGULATION LABORATORY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVENS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "LABORATORY MANAGER",
        "authorized_official_telephone_number": "985-893-6999",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS, MT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLL.  AMER. PATHOLOGISTS",
            "identifier": "3798001",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.