NPIMap

Organization Active NPI

Awc Lab Services

  • Clinical Medical Laboratory
  • Baton Rouge, LA
National Provider Identifier
1851776892
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
19D2093699 Issued in LA
Legal business name
AWC LAB SERVICES
Practice address
150 Cora Dr
Baton Rouge, LA 70815-4201
Phone
(225) 387-1611
Fax
(225) 343-5300
NPI assigned
Jul 20, 2015
Last updated
Jul 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Authorized official

Name
Mr. Dwayne Beason
Title
President
Phone
(225) 387-1611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 19D2093699 LA Primary

Addresses

Primary practice location

150 Cora Dr
Baton Rouge, LA 70815-4201

Mailing address

150 Cora Dr
Baton Rouge, LA 70815-4201
Phone (225) 387-1611

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1851776892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CORA DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708154201",
            "telephone_number": "225-387-1611",
            "fax_number": "225-343-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CORA DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708154201",
            "telephone_number": "225-387-1611",
            "fax_number": "225-343-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWC LAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "BEASON",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-387-1611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": "19D2093699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.