Active NPI
Thomas L Gardiner
Doing business as Acadia Laboratory
- Clinical Medical Laboratory
- Crowley, LA
National Provider Identifier
1336347475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- THOMAS L GARDINER
- Doing business as
- Acadia Laboratory
- Practice address
- 715 N Eastern Ave
Crowley, LA 70526-3856 - Phone
- (337) 783-0961
- Fax
- (337) 783-0954
- NPI assigned
- Jul 10, 2007
- Last updated
- Jun 12, 2008
- 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
- Thomas L Gardiner Sr.
- Title
- Owner
- Phone
- (337) 783-0961
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
715 N Eastern Ave
Crowley, LA 70526-3856
Mailing address
PO Box 852
Crowley, LA 70527-0852
Phone (337) 783-0961
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1131563 | Medicaid | LA | |
| 00059 | Other | LA | BLUE CROSS BLUE SHIELD |
Other names 1
- ACADIA LABORATORY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213228800000",
"number": "1336347475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 852",
"city": "CROWLEY",
"state": "LA",
"postal_code": "705270852",
"telephone_number": "337-783-0961",
"fax_number": "337-783-0954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 N EASTERN AVE",
"city": "CROWLEY",
"state": "LA",
"postal_code": "705263856",
"telephone_number": "337-783-0961",
"fax_number": "337-783-0954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS L GARDINER",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-10",
"last_updated": "2008-06-12",
"status": "A",
"authorized_official_last_name": "GARDINER",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-783-0961",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1131563",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00059",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ACADIA LABORATORY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Crowley, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.