Organization Active NPI

Thomas L Gardiner

Doing business as Acadia Laboratory

  • Clinical Medical Laboratory
  • Crowley, LA
National Provider Identifier
1336347475
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1131563MedicaidLA
00059OtherLABLUE CROSS BLUE SHIELD

Other names 1

  • ACADIA LABORATORY Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.