D & G Holdings, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

D & G HOLDINGS, LLC

Doing business as

DRS Lab

Practice address

8516 Stoddard St
Pleasant Hill, LA 71065-4607

Phone

(318) 796-3894

Fax

(318) 796-2104

NPI assigned

Apr 19, 2007

Last updated

Nov 7, 2007By 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

Ms. Tracie T Underwood

Title

Account Manager

Phone

(318) 390-7611

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• DRS LAB Doing business as

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1376760728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7161",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711377161",
            "telephone_number": "318-390-7611",
            "fax_number": "318-949-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8516 STODDARD ST",
            "city": "PLEASANT HILL",
            "state": "LA",
            "postal_code": "710654607",
            "telephone_number": "318-796-3894",
            "fax_number": "318-796-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & G HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "318-390-7611",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1191132",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00063345",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "BLUE CROSS OF LA",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRS LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Healthcare Resources

• Clinical Medical Laboratory in Pleasant Hill, LA
• Providers in Pleasant Hill, 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 Nov 7, 2007; 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.