Eunice Medical Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

19D1075897 Issued in LA

Legal business name

EUNICE MEDICAL LABORATORY INC

Practice address

450 Moosa Blvd
Suite C
Eunice, LA 70535-3610

Phone

(337) 457-5562

Fax

(337) 550-7141

NPI assigned

Dec 7, 2007

Last updated

Jan 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Darbonne, M.T.

Title

President

Phone

(337) 457-5562

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1740463207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MOOSA BLVD",
            "address_2": "SUITE C",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353610",
            "telephone_number": "337-457-5562",
            "fax_number": "337-550-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MOOSA BLVD",
            "address_2": "SUITE C",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353610",
            "telephone_number": "337-457-5562",
            "fax_number": "337-550-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUNICE MEDICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "DARBONNE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-457-5562",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": "19D1075897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunice Anesthesiology Group LLC
• Eunice Community Health Unit
• Eunice Emergency Group LLC
• Eunice Family Practice, L.L.C.
• Eunice Medical Center Lab
• Eunice Medical Specialties, LLC.
• Bernadette Michelle Evitt, P.A.
• Family Practice Center of Eunice
• Charles S. Feucht, PHARM. D.
• First Choice Medical Solutions of America

• Clinical Medical Laboratory in Eunice, LA
• Providers in Eunice, 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 Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.