Clinical Diagnostic Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CLINICAL DIAGNOSTIC LABORATORY LLC

Practice address

3424 Medical Park Dr Ste 5-6
Monroe, LA 71203-2387

Phone

(318) 216-0711

Fax

(318) 216-1319

NPI assigned

Mar 12, 2025

Organization subpart

No

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

Authorized official

Name

Kamal A Saadat, MLT

Title

Owner

Phone

(318) 216-0711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1396544136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 MEDICAL PARK DR STE 5-6",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032387",
            "telephone_number": "318-216-0711",
            "fax_number": "318-216-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 MEDICAL PARK DR STE 5-6",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032387",
            "telephone_number": "318-216-0711",
            "fax_number": "318-216-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL DIAGNOSTIC LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "SAADAT",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-216-0711",
        "authorized_official_credential": "MLT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Monroe, LA
• Providers in Monroe, 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 Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.