Organization Active NPI

Lafayette Diagnostics, Inc.

  • General Practice Physician
  • Lafayette, LA
National Provider Identifier
1942539044
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LAFAYETTE DIAGNOSTICS, INC.
Practice address
1019 Kaliste Saloom Rd
Suite # 711
Lafayette, LA 70508-4935
Phone
(337) 214-4399
NPI assigned
Dec 18, 2009
Last updated
Jan 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Mr. Yerbol Koshimbayev
Title
President
Phone
(985) 381-6758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

1019 Kaliste Saloom Rd
Suite # 711
Lafayette, LA 70508-4935

Mailing address

12550 Whittington Dr
Suite # 804
Houston, TX 77077-4800
Phone (337) 214-4199

National Provider Directory

National Provider Directory

Locations

1406 Gause Blvd
Slidell, LA 70458
Phone (985) 646-0222

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": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1942539044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 WHITTINGTON DR",
            "address_2": "SUITE # 804",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770774800",
            "telephone_number": "337-214-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 KALISTE SALOOM RD",
            "address_2": "SUITE # 711",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084935",
            "telephone_number": "337-214-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "KOSHIMBAYEV",
        "authorized_official_first_name": "YERBOL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-381-6758",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.