Southwest Laboratory Services Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLIA19D0461069 Issued in LA

Legal business name

SOUTHWEST LABORATORY SERVICES INC

Practice address

2621 North Drive Suite a
Abbeville, LA 70510

Phone

(337) 898-8454

Fax

(337) 898-8402

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Antoinette D Moss, MT ASCP

Title

Lab Manager

Phone

(337) 898-8454

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1386601581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 NORTH DRIVE SUITE A",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "70510",
            "telephone_number": "337-898-8454",
            "fax_number": "337-898-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 NORTH DRIVE SUITE A",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "70510",
            "telephone_number": "337-898-8454",
            "fax_number": "337-898-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST LABORATORY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LAB MANAGER",
        "authorized_official_telephone_number": "337-898-8454",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": "CLIA19D0461069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1360881",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "690004575",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.