Active NPI
Covalent Laboratories LLC
- Clinical Medical Laboratory
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- COVALENT LABORATORIES LLC
- Practice address
- 8000 Innovation Park Drive
Building 3100 Room 199
Baton Rouge, LA 70820-7400 - Phone
- (225) 578-7555
- NPI assigned
- Dec 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devin Brodman
- Title
- Owner
- Phone
- (954) 995-0202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
8000 Innovation Park Drive
Building 3100 Room 199
Baton Rouge, LA 70820-7400
Mailing address
8000 Innovation Park Drive
Building 3100 Room 199
Baton Rouge, LA 70820-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230209000308 | LA | Part B Supplier - Independent Clinical Laboratory | 3173995636 | Practice locations: Baton Rouge, LA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2228211 | Covalent Laboratories LLC | Accreditation | Mar 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
8000 Innovation Park Dr
Bldg 3100
Baton Rouge, LA 70820
Phone (225) 578-7555
8000 Innovation Park Dr
Rm 114
Baton Rouge, LA 70820
Phone (225) 721-1465
160 James Dr E
Ste 200
Saint Rose, LA 70087
Phone (504) 236-4030
13140 Coit Rd
Ste 110
Dallas, TX 75240
Phone (214) 833-1279
12200 Ford Rd
Ste A
Farmers Branch, TX 75234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704931200000",
"number": "1962270538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 INNOVATION PARK DRIVE",
"address_2": "BUILDING 3100 ROOM 199",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708207400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 INNOVATION PARK DRIVE",
"address_2": "BUILDING 3100 ROOM 199",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708207400",
"telephone_number": "225-578-7555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVALENT LABORATORIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-13",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A",
"authorized_official_last_name": "BRODMAN",
"authorized_official_first_name": "DEVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-995-0202"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.