Riverboat Group, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RIVERBOAT GROUP, LLC

Doing business as

Vanguard Labs, LLC

Practice address

2239 Poydras St
Suite 214
New Orleans, LA 70119-7561

Phone

(504) 252-9992

NPI assigned

Jun 21, 2016

Organization subpart

No

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

Authorized official

Name

Clayton White

Title

Secretary

Phone

(504) 598-5242

Specialties & licenses 1

Addresses

Other names 1

• Vanguard Labs, LLC Doing business as

Locations

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1912357872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 CANAL ST",
            "address_2": "SUITE 317",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122714",
            "telephone_number": "504-598-5242",
            "fax_number": "844-942-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 POYDRAS ST",
            "address_2": "SUITE 214",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197561",
            "telephone_number": "504-252-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBOAT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "504-598-5242"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanguard Labs, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Isenmann Rivera, RN, MSN, APRN/NNP-BC
• Iliana Rosemarie Rivera, CADC
• Jessica C Rivera, M.D.
• Juliana Rivera
• Ramon E. Rivera, M.D.
• Amy Rivere, M.D.
• Laura Elizabeth Rivers, MD
• Riverside Primary Healthcare Associates,LLC
• Riverside Wellness Works
• Riverway Psychological Health LLC

• Clinical Medical Laboratory in New Orleans, LA
• Providers in New Orleans, 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 21, 2016; 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.