Lake Charles Clinical Trials, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD 08664R Issued in LA

Legal business name

LAKE CHARLES CLINICAL TRIALS, LLC

Practice address

One Lakeshore Drive,
Suite 1695
Lake Charles, LA 70629

Phone

(337) 564-6405

NPI assigned

Apr 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kashinath Yadalam, M.D.NPI 1588661508

Title

Ceo

Phone

(337) 564-6405

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kashinath Gangadhara Yadalam, MD

  • Psychiatry Physician
  • Lake Charles, LA
  • NPI 1588661508
  NPD (past) Authorized official

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1447517909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 COBBLESTONE DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052571",
            "telephone_number": "337-564-6405",
            "fax_number": "337-656-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE LAKESHORE DRIVE,",
            "address_2": "SUITE 1695",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70629",
            "telephone_number": "337-564-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CHARLES CLINICAL TRIALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "YADALAM",
        "authorized_official_first_name": "KASHINATH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-564-6405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "MD 08664R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Area Rehabilitation Services, Inc.
• Lake Area TMS
• Lake Charles Addiction and Wellness Center (Addiction and Wellness)
• Lake Charles Ambulatory Surgery Center, LP (Cardiovascular Outpatient Surgery Center of Southwest Louisiana)
• Lake Charles Anesthesiology, Apmc
• Lake Charles Dialysis Center LLC
• Lake Charles Healthcare LLC (Landmark of Lake Charles)
• Lake Charles Hearing AIDS LLC (McMillin Hearing Aid Service)
• Lake Charles Intraoperative Neuromonitoring, LLC
• Lake Charles Medical & Surgical Clinic

• Clinic/Center in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.