Hematology Oncology Life Center, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

19D0464720 Issued in LA

Legal business name

HEMATOLOGY ONCOLOGY LIFE CENTER, LLC

Practice address

605B Medical Center Dr
Alexandria, LA 71301-8127

Phone

(318) 442-2232

Fax

(318) 442-2192

NPI assigned

May 25, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Howard G Wold, M.D.

Title

Laboratory Director

Phone

(318) 442-2232

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Hematology Oncology Life Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hematology Oncology Life Center Prescott

  • Clinical Medical Laboratory
  • Alexandria, LA
  • NPI 1861495921
  NPD tax ID

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

{
    "created_epoch": "1116979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1700889458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 MEDICAL CENTER DR STE B",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018145",
            "telephone_number": "318-442-2232",
            "fax_number": "318-442-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605B MEDICAL CENTER DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018127",
            "telephone_number": "318-442-2232",
            "fax_number": "318-442-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMATOLOGY ONCOLOGY LIFE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "WOLD",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "318-442-2232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": "19D0464720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID #",
            "identifier": "19D0464720",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ginger Brewer Hebron, RPH
• Amany Youssef Hegazy, R.PHARMACIST
• Linda Heiman, LCSW
• Daniel L Heitman, O.D.
• Hematology Oncology Life Center Prescott
• Hematology Oncology Life Center, LLC
• Allie Henagan, MHP
• Elizabeth Frances Henderson, P.T.
• Tiffany Henderson
• Ricky Dale Hendrix, M.D.

• Clinical Medical Laboratory in Alexandria, LA
• Providers in Alexandria, 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 Jun 25, 2020; 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.