Lake Area Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

200573 Issued in LA

Legal business name

LAKE AREA LABORATORIES

Practice address

748 E Bayou Pines Dr
Suite-B
Lake Charles, LA 70601-7184

Phone

(337) 493-7000

Fax

(337) 474-2255

NPI assigned

Feb 2, 2009

Last updated

Feb 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stacy Marie RogersNPI 1538305347

Title

Owner

Phone

(337) 493-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Stacy Marie Rogers

  • Clinical Medical Laboratory
  • Lake Charles, LA
  • NPI 1538305347
  NPD (past) Authorized official

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1487892238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 E BAYOU PINES DR",
            "address_2": "SUITE-B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017184",
            "telephone_number": "337-493-7000",
            "fax_number": "337-474-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 E BAYOU PINES DR",
            "address_2": "SUITE-B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017184",
            "telephone_number": "337-493-7000",
            "fax_number": "337-474-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE AREA LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-493-7000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": "200573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA IDENTIFICATION NUMBER",
            "identifier": "19D1094002",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lake Area Medical Center
• Lake Area Medical Services
• Lake Area Medical Services, LLC
• Lake Area Neuropsychology Associates Inc
• Lake Area Physician Services LLC (Lake Area Physicians)

• Clinical Medical Laboratory in Lake Charles, LA
• Providers in Lake Charles, 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 Feb 2, 2009; 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.