NPIMap

Organization Active NPI

Louisiana Department of Health - Office of Public Health

  • Clinical Medical Laboratory
  • Baton Rouge, LA
National Provider Identifier
1942221098
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LOUISIANA DEPARTMENT OF HEALTH - OFFICE OF PUBLIC HEALTH
Practice address
1209 Leesville Ave
Baton Rouge, LA 70802-4336
Phone
(225) 219-5200
Fax
(225) 219-4903
NPI assigned
Jul 22, 2006
Last updated
Oct 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
Mrs. Dorothy Crotwell
Title
Program Manager
Phone
(504) 568-3420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1209 Leesville Ave
Baton Rouge, LA 70802-4336

Mailing address

P.O. Box 61979
New Orleans, LA 70161-1979
Phone (504) 568-3420

Other identifiers 1

IdentifierTypeStateIssuer
1906930MedicaidLA

Other names 1

  • OPH Laboratory Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171026002776 LA Part B Supplier - Independent Clinical Laboratory 5890700694 1 other NPI on this enrollment
Practice locations: Baton Rouge, LA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Amite Regional Laborato24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Locations

2501 Charity St
Abbeville, LA 70510
Phone (337) 893-1443

1209 Leesville Ave
Baton Rouge, LA 70802
Phone (225) 219-5200

308 W Bloch St
Opelousas, LA 70570
Phone (337) 948-0220

303 W Port St
Saint Martinville, LA 70582
Phone (337) 394-3097

Practitioners & affiliated clinicians

Practitioners 1

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1942221098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 61979",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701611979",
            "telephone_number": "504-568-3420",
            "fax_number": "504-568-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 LEESVILLE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708024336",
            "telephone_number": "225-219-5200",
            "fax_number": "225-219-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA DEPARTMENT OF HEALTH - OFFICE OF PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "CROTWELL",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "504-568-3420",
        "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": "1906930",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPH Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.