The Laboratory of Leesville, Apmc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

12708R Issued in LA

Legal business name

THE LABORATORY OF LEESVILLE, APMC

Practice address

1020 W Fertitta Blvd
Leesville, LA 71446-4649

Phone

(337) 239-5496

Fax

(337) 239-5387

NPI assigned

Oct 4, 2006

Last updated

Aug 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Muhammad Anwar Molani, M.D.NPI 1497842090

Title

President

Phone

(337) 239-5496

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Muhammad Anwar Molani, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Encino, CA
  • NPI 1497842090
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1326133364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714960679",
            "telephone_number": "337-239-5496",
            "fax_number": "337-239-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W FERTITTA BLVD",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464649",
            "telephone_number": "337-239-5496",
            "fax_number": "337-239-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LABORATORY OF LEESVILLE, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "MOLANI",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "ANWAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-239-5496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": "12708R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011789",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMAN'S COMP",
            "identifier": "174358900",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "7203091",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "2236504350",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Leesville, LA
• Providers in Leesville, LA by specialty
• Clinical Medical Laboratory in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.