Opelousas Cta, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

OPELOUSAS CTA, LLC

Practice address

1233 Wayne Gilmore Circle, 5TH Floor
Opelousas, LA 70570-6404

Phone

(337) 407-3207

Fax

(225) 282-1049

NPI assigned

May 26, 2006

Organization subpart

No

Name

Mr. David C Konur

Title

Manager Governor

Phone

(985) 876-0300

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366498792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4176",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703614176",
            "telephone_number": "985-876-0300",
            "fax_number": "985-876-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 WAYNE GILMORE CIRCLE, 5TH FLOOR",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706404",
            "telephone_number": "337-407-3207",
            "fax_number": "225-282-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPELOUSAS CTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KONUR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER  GOVERNOR",
        "authorized_official_telephone_number": "985-876-0300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.