NPIMap

Organization Active NPI

Northeast Supports and Services Center

  • Clinical Medical Laboratory
  • Ruston, LA
National Provider Identifier
1861726598
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NORTHEAST SUPPORTS AND SERVICES CENTER
Practice address
2776 Highway 150
Ruston, LA 71270-1500
Phone
(318) 247-4213
Fax
(318) 247-4254
NPI assigned
Sep 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Mrs. Janet Robinson
Title
Director of Administrative Services
Phone
(318) 247-4213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2776 Highway 150
Ruston, LA 71270-1500

Mailing address

PO Box 907
Ruston, LA 71273-0907
Phone (318) 247-4213

Other identifiers 1

IdentifierTypeStateIssuer
1886726MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Ruston Developmental Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1861726598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 907",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712730907",
            "telephone_number": "318-247-4213",
            "fax_number": "318-247-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 HIGHWAY 150",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712701500",
            "telephone_number": "318-247-4213",
            "fax_number": "318-247-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST SUPPORTS AND SERVICES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "318-247-4213",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1886726",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.