NPIMap

Organization Active NPI

Hematology Oncology Life Center Prescott

  • Clinical Medical Laboratory
  • Alexandria, LA
National Provider Identifier
1861495921
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
19D1020000 Issued in LA
Legal business name
HEMATOLOGY ONCOLOGY LIFE CENTER PRESCOTT
Practice address
2003 Macarthur Dr
Ste 5
Alexandria, LA 71301-3720
Phone
(318) 619-7707
Fax
(318) 619-7771
NPI assigned
May 23, 2005
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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.NPI 1467455501
Title
Laboratory Director
Phone
(318) 442-2232

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 19D1020000 LA Primary

Addresses

Primary practice location

2003 Macarthur Dr
Ste 5
Alexandria, LA 71301-3720

Mailing address

PO Box 8255
Alexandria, LA 71306-1255
Phone (318) 442-2232

Other identifiers 1

IdentifierTypeStateIssuer
19D1020000OtherLACLIA ID #

National Provider Directory

National Provider Directory
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.

Locations

2003 MacArthur Dr
Ste 5
Alexandria, LA 71301
Phone (318) 619-7707

Practitioners & affiliated clinicians

Practitioners 2

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": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1861495921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8255",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713061255",
            "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": "2003 MACARTHUR DR",
            "address_2": "STE 5",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013720",
            "telephone_number": "318-619-7707",
            "fax_number": "318-619-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMATOLOGY ONCOLOGY LIFE CENTER PRESCOTT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-06-19",
        "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": "19D1020000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID #",
            "identifier": "19D1020000",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.