SAGENEX DIAGNOSTICS LABORATORY, LLC (NPI# 1093175127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093175127 |
| Entity Type | Organization |
| Organization Name | SAGENEX DIAGNOSTICS LABORATORY, LLC |
| Practice Address |
3042 Gause Boulevard East Slidell LA 70461 |
| Mailing Address |
200 Powell Pl Brentwood TN 37027-7514 |
| Practice Telephone | 9857181692 |
| Practice Fax Number | 6154578094 |
| Mailing Telephone | 6157278387 |
| Mailing Fax Number | 6154578094 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2018-07-20 |
| Authorized Official Name | MICHAEL CARTWRIGHT (CHAIRMAN) |
| Authorized Official Telephone | 6157278387 |
| 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 | CLINICAL LABORATORY IMPROVEMENT AMENDMENTS (CLIA) | 19D2026660 | 01 |
| LA | COLA | 23114 | 01 |
| Street Address |
3042 GAUSE BOULEVARD EAST |
| City | SLIDELL |
| State | LA |
| Zip Code | 70461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
| 1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
| 1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
| 1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
| 1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
| 1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
| 1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
| 1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
| 1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
| Find all providers in zip 70461 | ||||
| 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 |
|---|---|---|---|---|
| 1467740969 | Khm, LLC | Clinical Medical Laboratory | 1379 Corporate Square Dr, Slidell, LA 70458-3147 | 2011-07-18 |
| 1033150206 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1850 Gause Boulevard Suite 101, Slidell, LA 70461 | 2006-06-09 |
| 1538625207 | Laworx of La, LLC | Clinical Medical Laboratory | 659 Brownswitch Rd, Slidell, LA 70458-1233 | 2019-02-18 |
| 1669786695 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 901 Gause Blvd, 2nd Floor, Slidell, LA 70458-2937 | 2010-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807425 | Crescent City Surgical Centre Diagnostics, LLC | Clinical Medical Laboratory | 3016 Galleria Dr, Metairie, LA 70001-2017 | 2020-10-07 |
| 1912514407 | Global Lab | Clinical Medical Laboratory | 201 Century Village Blvd Ste 226, Monroe, LA 71203-2008 | 2020-09-28 |
| 1326654757 | Marilyn M Williams-hunter | Clinical Medical Laboratory | 2000 Carter St Ste B, Vidalia, LA 71373-3003 | 2020-09-21 |
| 1295341881 | Kassandra Williams | Clinical Medical Laboratory | 11843 Bricksome Ave Ste C, Baton Rouge, LA 70816-5310 | 2020-09-18 |
| 1053926642 | Atc Testing and Screening Services LLC | Clinical Medical Laboratory | 4532 W Napoleon Ave Ste 202, Metairie, LA 70001-2486 | 2020-09-10 |
| 1659986503 | Tulane Drug Analysis Laboratory | Clinical Medical Laboratory | 1340 Poydras St Ste 2040, New Orleans, LA 70112-1296 | 2020-09-08 |
| 1518577295 | Intedrated Health LLC | Clinical Medical Laboratory | 2820 Continental Dr Ste 300, Baton Rouge, LA 70808-3209 | 2020-08-06 |
| 1164049086 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 4950 Essen Ln Fl 5, Baton Rouge, LA 70809-3738 | 2020-06-26 |
| 1730706789 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2600 Tower Dr Ste 103, Monroe, LA 71201-5783 | 2020-06-25 |
| 1245856434 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 5000 Odonavan Blvd Ste A, Walker, LA 70785-6351 | 2020-06-23 |
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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.