NPIMap

Organization Active NPI

Reliapath LLC, a Professional Medical Limited Liability Company

  • Anatomic Pathology & Clinical Pathology Physician
  • Lafayette, LA
National Provider Identifier
1811187529
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
RELIAPATH LLC, A PROFESSIONAL MEDICAL LIMITED LIABILITY COMPANY
Practice address
1810 Bertrand Dr
Lafayette, LA 70506-2055
Phone
(337) 233-1899
Fax
(337) 233-1923
NPI assigned
Jul 29, 2007
Last updated
Feb 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Lisa D Altmann, M.D.NPI 1740353887
Title
Authorized Representative
Phone
(337) 365-5944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary

Addresses

Primary practice location

1810 Bertrand Dr
Lafayette, LA 70506-2055

Mailing address

1810 Bertrand Dr
Lafayette, LA 70506-2055
Phone (337) 233-1899

Other identifiers 2

IdentifierTypeStateIssuer
1021016MedicaidLA
DG8005OtherLARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1100 Andre St
Ste 100
New Iberia, LA 70563
Phone (337) 365-3541

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1811187529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 BERTRAND DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062055",
            "telephone_number": "337-233-1899",
            "fax_number": "337-233-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 BERTRAND DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062055",
            "telephone_number": "337-233-1899",
            "fax_number": "337-233-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIAPATH LLC, A PROFESSIONAL MEDICAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-29",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "ALTMANN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "337-365-5944",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021016",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG8005",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.