Active NPI
Jim Quach, MEDICAL TECHNOLOGIST
- Medical Technologist
- New Orleans, LA
National Provider Identifier
1750038741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- CLP.203610-GEN
- Practice address
- 2000 Canal St
New Orleans, LA 70112-3018 - Phone
- (504) 702-3000
- NPI assigned
- Mar 9, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | CLP.203610-GEN | LA | Primary |
Addresses
Primary practice location
2000 Canal St
New Orleans, LA 70112-3018
Mailing address
2543 Jared LN
Marrero, LA 70072-6003
Phone (504) 345-6488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CLP.203610-GEN | LA | MD | Medical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1750038741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2543 JARED LN",
"city": "MARRERO",
"state": "LA",
"postal_code": "700726003",
"telephone_number": "504-345-6488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 CANAL ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701123018",
"telephone_number": "504-702-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUACH",
"first_name": "JIM",
"credential": "MEDICAL TECHNOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-09",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "LA",
"license": "CLP.203610-GEN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.