Organization Active NPI

Hybrid Toxicology, L.L.C.

  • Clinical Medical Laboratory
  • Baton Rouge, LA
National Provider Identifier
1528456795
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
10514968#D5P83 Issued in LA
Legal business name
HYBRID TOXICOLOGY, L.L.C.
Practice address
11606 Southfork Ave
Ste 103
Baton Rouge, LA 70816-5235
Phone
(901) 336-5602
NPI assigned
Dec 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Mr. Kevin Hanley
Title
Owner
Phone
(901) 336-5602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 10514968#D5P83 LA Primary

Addresses

Primary practice location

11606 Southfork Ave
Ste 103
Baton Rouge, LA 70816-5235

Mailing address

11606 Southfork Ave
Ste 103
Baton Rouge, LA 70816-5235
Phone (901) 336-5602

National Provider Directory

National Provider Directory

Locations

11606 Southfork Ave
Ste 103
Baton Rouge, LA 70816
Phone (225) 448-5886

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1528456795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11606 SOUTHFORK AVE",
            "address_2": "STE 103",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165235",
            "telephone_number": "901-336-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11606 SOUTHFORK AVE",
            "address_2": "STE 103",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165235",
            "telephone_number": "901-336-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYBRID TOXICOLOGY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-336-5602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": "10514968#D5P83",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.