Cyprus Clinical Labs of Louisiana LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

10524692#4PK73 Issued in LA

Legal business name

CYPRUS CLINICAL LABS OF LOUISIANA LLC

Practice address

1811 Rees St Unit D
Breaux Bridge, LA 70517-4239

Phone

(337) 806-8620

NPI assigned

Jan 21, 2015

Last updated

Jan 21, 2015By 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

Chenoa Hardwick

Title

Director of Laboratory Operations

Phone

(972) 351-0774

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1346639838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168325",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750168325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 REES ST UNIT D",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705174239",
            "telephone_number": "337-806-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRUS CLINICAL LABS OF LOUISIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "HARDWICK",
        "authorized_official_first_name": "CHENOA",
        "authorized_official_title_or_position": "DIRECTOR OF LABORATORY OPERATIONS",
        "authorized_official_telephone_number": "972-351-0774"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": "10524692#4PK73",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Contemporary Womens Care of Breaux Bridge
• Jaime Miguel Cordova, MD
• Laken Couvillion, PLPC
• Cypress Counseling Services, LLC
• Courtlon Cyprien
• Danielle Daguinod
• Phil J Daigle Jr., RPH
• Deaundra Thomas Davis, RAC
• Francheska Davis
• Joshua Davis

• Clinical Medical Laboratory in Breaux Bridge, LA
• Providers in Breaux Bridge, 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 Jan 21, 2015; 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.