Organization Active NPI

Fleur de Lis Labs, LLC

  • Clinical Medical Laboratory
  • Slidell, LA
National Provider Identifier
1548049323
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FLEUR DE LIS LABS, LLC
Practice address
753 Robert Blvd
Slidell, LA 70458-1637
Phone
(866) 547-5227
NPI assigned
Sep 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Krishonna Ramia Burke, CPT, CCMANPI 1609652338
Title
Owner
Phone
(866) 547-5227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

753 Robert Blvd
Slidell, LA 70458-1637

Mailing address

753 Robert Blvd
Slidell, LA 70458-1637
Phone (866) 547-5227

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1548049323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581637",
            "telephone_number": "866-547-5227",
            "fax_number": "985-217-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581637",
            "telephone_number": "866-547-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEUR DE LIS LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "KRISHONNA",
        "authorized_official_middle_name": "RAMIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-547-5227",
        "authorized_official_credential": "CPT, CCMA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.