MOBILE DIAGNOSTICS OF LAFAYETTE LLC (NPI# 1053450668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053450668 |
| Entity Type | Organization |
| Organization Name | MOBILE DIAGNOSTICS OF LAFAYETTE LLC |
| Practice Address |
155 Hospital Dr Suite 201 Lafayette LA 70503-2852 |
| Mailing Address |
Po Box 52970 Lafayette LA 70505-2970 |
| Practice Telephone | 3372350888 |
| Practice Fax Number | 3372373700 |
| Mailing Telephone | 3372350888 |
| Mailing Fax Number | 3372373700 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-04-25 |
| Authorized Official Name | DR. JAMES C INGRAM JR. (VICE PRESIDENT) |
| Authorized Official Telephone | 3372350888 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUECROSS BLUESHIELD | F9591 | 01 |
| Street Address |
155 HOSPITAL DR SUITE 201 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70503-2852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667257 | Cain & Johnson Oncology LLC | Internal Medicine | 155 Hospital Dr, Ste 100, Lafayette, LA 70503-2852 | 2005-05-24 |
| 1851783864 | Madelyn Ann Hunter | Nurse Practitioner | 155 Hospital Dr, Ste. 206, Lafayette, LA 70503-2852 | 2015-02-27 |
| 1902212301 | Lauren Sullivan | Nurse Practitioner | 155 Hospital Dr, Suite 100, Lafayette, LA 70503-2852 | 2014-07-07 |
| 1346652161 | Jay Luke LLC | Specialist | 155 Hospital Dr, Ste 410, Lafayette, LA 70503-2852 | 2014-05-28 |
| 1275950370 | Andrew Patrick Hebert | Physician Assistant | 155 Hospital Dr, Lafayette, LA 70503-2852 | 2014-03-26 |
| 1528481744 | Morgan Louviere | Nurse Practitioner | 155 Hospital Dr, Suite 301, Lafayette, LA 70503-2852 | 2014-01-23 |
| 1669802716 | Ghanami Medical LLC | Specialist | 155 Hospital Dr, Suite 410, Lafayette, LA 70503-2852 | 2013-11-26 |
| 1801222104 | Maria Bidros Md Apmc | Ophthalmology | 155 Hospital Dr, Suite 203, Lafayette, LA 70503-2852 | 2013-09-18 |
| 1578905725 | Amanda Lemoine Alleyn LLC | Obstetrics & Gynecology | 155 Hospital Dr, Suite 303, Lafayette, LA 70503-2852 | 2013-07-29 |
| 1700224862 | Smartmed - It Solutions LLC | Internal Medicine | 155 Hospital Dr, Suite 103, Lafayette, LA 70503-2852 | 2013-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
| 1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
| 1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
| 1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
| 1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
| 1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
| 1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
| 1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
| 1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366942823 | Surge LLC | Clinical Medical Laboratory | 1001 W Pinhook Rd Ste 300, Lafayette, LA 70503-2487 | 2018-02-20 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| 1285077586 | Secon Inc. | Clinical Medical Laboratory | 825 Kaliste Saloom Rd Ste 100, Lafayette, LA 70508-4284 | 2013-04-17 |
| 1902190713 | Noel Sleep Center, LLC | Clinical Medical Laboratory | 227 B. Bendel Rd, Suite 4, Lafayette, LA 70503 | 2011-06-09 |
| 1851693220 | Precision Diagnostics LLC | Clinical Medical Laboratory | 1304 Bertrand Dr Ste E6, Lafayette, LA 70506-9105 | 2010-11-17 |
| 1639470032 | Colorado Chemistries, LLC | Clinical Medical Laboratory | 380 Empire Rd. Ste 210, Lafayette, CO 80026-2677 | 2010-11-16 |
| 1811187529 | Reliapath LLC, A Professional Medical Limited Liability Company | Clinical Medical Laboratory | 1810 Bertrand Dr, Lafayette, LA 70506-2055 | 2007-07-29 |
| 1730218041 | Centurion Medical LLC | Clinical Medical Laboratory | 2701 Johnston St, Suite 100, Lafayette, LA 70503-3263 | 2007-03-04 |
| 1225176233 | Medical Diagnostic Services | Clinical Medical Laboratory | 2400 South Street, Department of Pathology, Lafayette, IN 47903 | 2007-02-02 |
| 1477566503 | Advanced Cytology, Inc | Clinical Medical Laboratory | 217 La Rue France, Lafayette, LA 70508-3103 | 2006-08-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.