Organization Active NPI

Covalent Laboratories LLC

  • Clinical Medical Laboratory
  • Baton Rouge, LA
National Provider Identifier
1962270538
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Jan 11, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20230209000308 LA Part B Supplier - Independent Clinical Laboratory 3173995636 Practice locations: Baton Rouge, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2228211Covalent Laboratories LLC8000 Innovation Park Drive, BLDG 3100 Room 199, Baton Rouge, LA 70820AccreditationMar 1, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.