NORTHLAKE PATHOLOGY LLC (NPI# 1356655245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356655245 |
| Entity Type | Organization |
| Organization Name | NORTHLAKE PATHOLOGY LLC |
| Practice Address |
16061 Doctors Blvd Ste A Hammond LA 70403-1499 |
| Practice Telephone | 9853456090 |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |
| Authorized Official Name | DR. GREGORY MARK MULA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9853456090 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 108 | LA | Laboratories |
| Street Address |
16061 DOCTORS BLVD STE A |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403-1499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699089581 | Gastroenterology Anesthesia LLC | Specialist | 16061 Doctors Blvd Ste A, Hammond, LA 70403-1499 | 2010-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| 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 |
|---|---|---|---|---|
| 1629400817 | Hammond Community Service Lab LLC | Clinical Medical Laboratory | 837 169th St, Hammond, IN 46324-2035 | 2013-07-30 |
| 1306872965 | Somno Diagnostics, LLC | Clinical Medical Laboratory | 16061 Doctors Boulevard, Hammond, LA 70403 | 2006-06-24 |
| 1417904285 | Alverno Clinical Laboratories, LLC | Clinical Medical Laboratory | 2434 Interstate Plaza Dr, Hammond, IN 46324-3361 | 2006-05-27 |
| 1588088587 | Akrivis Laboratories LLC | Clinical Medical Laboratory | 1402 S Magnolia St, Unit H, Hammond, LA 70403-5020 | 2014-02-11 |
| 1619303773 | North Oaks Medical Center, LLC | Clinical Medical Laboratory | 15790 Paul Vega Md Dr, Outsourcing Laboratory, Hammond, LA 70403-1434 | 2013-09-20 |
| 1861763658 | Professional Clinical Laboratories, LLC | Clinical Medical Laboratory | 2434 Interstate Plaza Dr, Hammond, IN 46324-2671 | 2012-01-25 |
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| 1730706789 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2600 Tower Dr Ste 103, Monroe, LA 71201-5783 | 2020-06-25 |
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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.