Outreach Mobile Labs, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLP.201140-LAB Issued in LA

Legal business name

OUTREACH MOBILE LABS, INC

Practice address

1051 N 47TH St
Baton Rouge, LA 70802-1342

Phone

(225) 366-0406

Fax

(225) 302-7078

NPI assigned

Jun 19, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Claudine B. Daigre, CLP

Title

Director

Phone

(225) 366-0406

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1871932251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 N 47TH ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708021342",
            "telephone_number": "225-366-0406",
            "fax_number": "225-302-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 N 47TH ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708021342",
            "telephone_number": "225-366-0406",
            "fax_number": "225-302-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH MOBILE LABS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "DAIGRE",
        "authorized_official_first_name": "CLAUDINE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "225-366-0406",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CLP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "LA",
            "license": "CLP.201140-LAB",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821167099",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Our Lake of the Lake Hospital Inc (OLOL Professional Services)
• David Michael Ourso, FNP-C
• Jena Leigh Ourso, LCSW
• Kaitlyn Ourso, PT, DPT
• Rita K Ourso, LCSW
• Natalie H Overall
• Kerri Spears Overstreet, MA, LPC, NCC
• Brandon Overton
• Carmen Overton
• Laura Owen, BCBA, LBA

• Clinical Medical Laboratory in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinical Medical Laboratory in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.