NPIMap

Organization Active NPI

Opelousas Cta, LLC

  • Physiological Laboratory
  • Opelousas, LA
National Provider Identifier
1366498792
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David C Konur
Title
Manager Governor
Phone
(985) 876-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

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

Mailing address

PO Box 4176
Houma, LA 70361-4176
Phone (985) 876-0300

National Provider Directory

National Provider Directory

Locations

1233 Wayne Gilmore Cir
Fl 5
Opelousas, LA 70570
Phone (337) 407-3207

NPI Registry JSON

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

{
    "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": []
}

Other providers in Opelousas, LA

Sources for this page

  • 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.