Protocol Labs, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

90114589 Issued in LA

Legal business name

PROTOCOL LABS, INC

Practice address

8394 Rushing Rd E
Denham Springs, LA 70726-7816

Phone

(985) 951-2400

Fax

(985) 951-2404

NPI assigned

Apr 22, 2016

Organization subpart

No

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

Authorized official

Name

Roland Mayeux

Title

Owner

Phone

(985) 951-2400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1447604749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1227",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704701227",
            "telephone_number": "985-951-2400",
            "fax_number": "985-951-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8394 RUSHING RD E",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707267816",
            "telephone_number": "985-951-2400",
            "fax_number": "985-951-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTOCOL LABS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "MAYEUX",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-951-2400"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": "90114589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Denham Springs, LA
• Providers in Denham Springs, 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 22, 2016; 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.