Active NPI
Pathology Laboratory Consultants Apmc
- Anatomic Pathology & Clinical Pathology Physician
- Baton Rouge, LA
National Provider Identifier
1528248556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 007053
- Legal business name
- PATHOLOGY LABORATORY CONSULTANTS APMC
- Practice address
- 3933 Convention St
Baton Rouge, LA 70806-3806 - Phone
- (225) 387-7851
- NPI assigned
- Nov 7, 2007
- Last updated
- Jun 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Milburn Nunnally, M.D.
- Title
- Owner
- Phone
- (318) 677-7450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 007053 | LA | Primary |
Addresses
Primary practice location
3933 Convention St
Baton Rouge, LA 70806-3806
Mailing address
PO Box 1736
Shreveport, LA 71166-1736
Phone (318) 677-7450
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220009443 | Other | LA | RAILROAD MEDICARE |
| 09015398 | Medicaid | MS | |
| 1317055 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
3933 Convention St
Baton Rouge, LA 70806
Phone (225) 387-7851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1528248556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1736",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711661736",
"telephone_number": "318-677-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3933 CONVENTION ST",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708063806",
"telephone_number": "225-387-7851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHOLOGY LABORATORY CONSULTANTS APMC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-07",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "NUNNALLY",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "MILBURN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-677-7450",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "LA",
"license": "007053",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "220009443",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09015398",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1317055",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
- Martha S Paterson, M.D.
- Pathology Associates of Southern Louisiana
- Pathology Group of Louisiana, a Professional Medical Corporation
- Pathology Group of Louisiana, a Professional Medical Corporation
- Pathology Group of Louisiana, a Professional Medical Corporation
- Pathway Family Health Center, LLC
- Pathways to Better Living Behavioral Health, LLC
- Patient Medical Transportation LLC
- Patientassistance.Com Inc.
- Austin A Patin, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.