AFFINITY HEALTH GROUP, LLC (NPI# 1881082998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881082998 |
| Entity Type | Organization |
| Organization Name | AFFINITY HEALTH GROUP, LLC |
| Other Organization Name | AFFINITY HEALTH GROUP LAB |
| Practice Address |
2408 Broadmoor Blvd Monroe LA 71201-2963 |
| Mailing Address |
130 Desiard St Suite 355 Monroe LA 71201-7319 |
| Practice Telephone | 3188077875 |
| Practice Fax Number | 3188126603 |
| Mailing Telephone | 3188077875 |
| Mailing Fax Number | 3188126603 |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2014-12-26 |
| Authorized Official Name | MR. MIKE BREARD (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 3183610900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Affinity Health Group Lab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437784907 | Affinity Health Group, LLC | Internal Medicine | 13348 Coursey Blvd, Baton Rouge, LA 70816-4970 | 2020-03-05 |
| 1457822991 | Affinity Health Group, LLC | Family Medicine | 920 Oliver Rd Ste A2, Monroe, LA 71201-5702 | 2018-12-10 |
| 1104274075 | Affinity Health Group, LLC | Clinical Medical Laboratory | 2516 Broadmoor Boulevard, Suite 1c, Monroe, LA 71201 | 2016-06-01 |
| 1427414549 | Affinity Health Group, LLC | Clinical Nurse Specialist | 1000 Jonesboro Rd, Beverage Division Plant 70, West Monroe, LA 71292-5925 | 2016-01-05 |
| 1316352677 | Affinity Health Group, LLC | Internal Medicine | 1 Bancroft Cir, Monroe, LA 71201-5101 | 2014-06-25 |
| 1750667481 | Affinity Health Group, LLC | Dietitian, Registered | 2408 Broadmoor Blvd Ste B, Monroe, LA 71201-2994 | 2011-10-26 |
| 1669767638 | Affinity Health Group, LLC | Dietitian, Registered | 920 Oliver Rd # J, Monroe, LA 71201-5702 | 2011-06-17 |
| 1023291226 | Affinity Health Group, LLC | Internal Medicine | 112 Saint. John Street, Monroe, LA 71201 | 2007-12-11 |
| 1902850035 | Affinity Health Group, LLC | Family Medicine | 261 Hwy 132, Mangham, LA 71259-0219 | 2006-05-22 |
| 1922617299 | Affinity Health Group, LLC | Pharmacy | 110 Saint John St, Monroe, LA 71201-7322 | 2020-07-23 |
| Street Address |
2408 BROADMOOR BLVD |
| City | MONROE |
| State | LA |
| Zip Code | 71201-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790728228 | Norman Boyd Williams | Emergency Medicine | 2408 Broadmoor Blvd, Suite B, Monroe, LA 71201-2994 | 2006-06-13 |
| 1881077808 | Cleo 'trey' Deason | Nurse Practitioner | 2408 Broadmoor Blvd, Suite B, Monroe, LA 71201-2994 | 2015-07-08 |
| 1912398934 | Linda Johnson | Nurse Practitioner | 2408 Broadmoor Blvd, Suite B, Monroe, LA 71201-2963 | 2015-02-12 |
| 1710266077 | Trishna Thapa | Family Medicine | 2408 Broadmoor Blvd, Suite B, Monroe, LA 71201-2963 | 2011-08-04 |
| 1295054088 | Lilantha P Herman Ferdinandez | Anesthesiology | 2408 Broadmoor Blvd, Monroe, LA 71201-2994 | 2010-05-19 |
| 1114159399 | Subodh Bhakta Uprety | Family Medicine | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2963 | 2009-08-20 |
| 1639310329 | Charles A. Mcintosh IIi, Md Apmc | Anesthesiology | 2408 Broadmoor Blvd, Monroe, LA 71201-2963 | 2009-03-10 |
| 1942441761 | Karen P Perkins | Dietitian, Registered | 2408 Broadmoor Blvd, Monroe, LA 71201-2963 | 2009-03-09 |
| 1255587424 | Anuradha Thadur | Internal Medicine | 2408 Broadmoor Blvd, Suite B, Monroe, LA 71201-2994 | 2008-08-07 |
| 1962697102 | Monroe Surgical Hospital | General Acute Care Hospital | 2408 Broadmoor Blvd, Monroe, LA 71201-2963 | 2007-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| 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. |
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| 1972163913 | New England Labs LLC | Clinical Medical Laboratory | 446 Main St Ste B, Monroe, CT 06468-1114 | 2019-06-20 |
| 1366907701 | Black Water Lab LLC | Clinical Medical Laboratory | 4150 Old Sterlington Rd Ste C, Monroe, LA 71203-2670 | 2019-02-08 |
| 1982101929 | Golgi Labs, LLC | Clinical Medical Laboratory | 333 Alcovy St Ste 4, Monroe, GA 30655-2180 | 2018-04-06 |
| 1992220057 | World Wide Toxicology LLC | Clinical Medical Laboratory | 307 Stewart Rd, Monroe, MI 48162-4393 | 2017-08-10 |
| 1104274075 | Affinity Health Group, LLC | Clinical Medical Laboratory | 2516 Broadmoor Boulevard, Suite 1c, Monroe, LA 71201 | 2016-06-01 |
| 1639577091 | Specialty Drug Testing, LLC | Clinical Medical Laboratory | 1300 Finks Hideaway Rd, Monroe, LA 71203-2804 | 2014-12-16 |
| 1235495136 | B.a.t. Collections Service LLC | Clinical Medical Laboratory | 2105 Justice St Ste B, Monroe, LA 71201-3602 | 2012-04-04 |
| 1104019520 | Cassandra Faye Bethea | Clinical Medical Laboratory | 2007 Stepping Stone Ln, Monroe, NC 28110-7106 | 2007-08-20 |
| Find all providers in MONROE | ||||
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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.