Medlogic,LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MEDLOGIC,LLC

Practice address

340 E Parker Blvd
Baton Rouge, LA 70808-4659

Phone

(225) 615-8970

Fax

(225) 615-8974

NPI assigned

Jul 9, 2013

Last updated

Oct 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Malena Badon Lepetich

Title

President/Ceo

Phone

(337) 319-1431

Specialties & licenses 1

Addresses

Locations

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.

• Malena Badon

  • Clinical Medical Laboratory
  • Baton Rouge, LA
  • NPI 1770924599
  NPD (past)

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1942641774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LA EMERGING TECHNOLOGY CTR",
            "address_2": "110 LSU UNION SQUARE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708030001",
            "telephone_number": "225-615-8970",
            "fax_number": "225-615-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E PARKER BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084659",
            "telephone_number": "225-615-8970",
            "fax_number": "225-615-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLOGIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "LEPETICH",
        "authorized_official_first_name": "MALENA",
        "authorized_official_middle_name": "BADON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "337-319-1431"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Oct 5, 2020; 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.