NPIMap

Organization Active NPI

Audubon Pathology LLC

  • Dermatopathology (Pathology) Physician
  • Gretna, LA
National Provider Identifier
1366683971
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
023755 Issued in LA
Legal business name
AUDUBON PATHOLOGY LLC
Practice address
1141 Whitney Ave BLDG 3
Gretna, LA 70056-5011
Phone
(504) 361-3757
Fax
(504) 361-3132
NPI assigned
Mar 11, 2009
Last updated
Mar 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Dr. William P Long, MDNPI 1043368723
Title
Owner
Phone
(504) 361-3757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 023755 LA
Dermatopathology (Pathology) Physician 207ZD0900X 023755 LA Primary

Addresses

Primary practice location

1141 Whitney Ave BLDG 3
Gretna, LA 70056-5011

Mailing address

1141 Whitney Ave BLDG 3
Gretna, LA 70056-5011
Phone (504) 361-3757

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1366683971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 WHITNEY AVE BLDG 3",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565011",
            "telephone_number": "504-361-3757",
            "fax_number": "504-361-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 WHITNEY AVE BLDG 3",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565011",
            "telephone_number": "504-361-3757",
            "fax_number": "504-361-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDUBON PATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-361-3757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": "023755",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "LA",
            "license": "023755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.