Organization Active NPI

Animo Lab Services LLC

  • Clinical Pathology/Laboratory Medicine Physician
  • Marrero, LA
National Provider Identifier
1386297919
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
Legal business name
ANIMO LAB SERVICES LLC
Practice address
4520 Wichers Dr Ste 101
Marrero, LA 70072-3133
Phone
(504) 236-4030
NPI assigned
Jul 23, 2019
Last updated
Oct 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Tarun Jolly, MDNPI 1275550071
Title
Owner
Phone
(504) 236-4030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X Primary

Addresses

Primary practice location

4520 Wichers Dr Ste 101
Marrero, LA 70072-3133

Mailing address

405 Wall Street
Lafayette, LA 70506
Phone (337) 296-7722

Other practice location 1

405 Wall St
Lafayette, LA 70072-3133
Phone (504) 236-4030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tjolly@uhipr.com

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": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1386297919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 WALL STREET",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70506",
            "telephone_number": "337-296-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 WICHERS DR STE 101",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723133",
            "telephone_number": "504-236-4030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Wall St",
            "address_purpose": "LOCATION",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "700723133",
            "country_code": "US",
            "telephone_number": "504-236-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANIMO LAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "TARUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-236-4030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tjolly@uhipr.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "4520 Wichers Dr Ste 101",
            "city": "Marrero",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700723133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.