Iles Medical Testing,LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ILES MEDICAL TESTING,LLC

Practice address

3437 Derek Dr
Lake Charles, LA 70607-7533

Phone

(337) 562-0835

Fax

(337) 562-8985

NPI assigned

Oct 25, 2017

Organization subpart

No

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

Authorized official

Name

Dorothy Marie Iles, LA,CPT,MROA

Title

Director

Phone

(337) 562-0835

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1669984183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 DEREK DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706077533",
            "telephone_number": "337-562-0835",
            "fax_number": "337-562-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3437 DEREK DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706077533",
            "telephone_number": "337-562-0835",
            "fax_number": "337-562-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILES MEDICAL TESTING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "ILES",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "337-562-0835",
        "authorized_official_credential": "LA,CPT,MROA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669984183",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ilesagency@outlook.com",
            "affiliation": "N",
            "endpointDescription": "outlook",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "NA",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3437 Derek Dr",
            "city": "Lake Charles",
            "state": "LA",
            "country_code": "US",
            "postal_code": "706077533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ilesagency@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3437 Derek Dr",
            "city": "Lake Charles",
            "state": "LA",
            "country_code": "US",
            "postal_code": "706077533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• 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 Oct 20, 2021; 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.