LOUISIANA IVF LAB, LLC (NPI# 1417345703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417345703 |
| Entity Type | Organization |
| Organization Name | LOUISIANA IVF LAB, LLC |
| Practice Address |
500 Rue De La Vie St Suite 514 Baton Rouge LA 70817-5127 |
| Mailing Address |
206 E Farrel Rd Lafayette LA 70508-7104 |
| Practice Telephone | 2259266886 |
| Practice Fax Number | 2259223730 |
| Mailing Telephone | 3379898795 |
| Mailing Fax Number | 3379898766 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |
| Authorized Official Name | DEBORAH DUGAS (PRACTICE MANAGER) |
| Authorized Official Telephone | 3379898795 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 021643 | LA | Laboratories |
| Street Address |
500 RUE DE LA VIE ST SUITE 514 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70817-5127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851390843 | Cynthia Ann Voelker | Pediatrics | 500 Rue De La Vie St, Suite 405, Baton Rouge, LA 70817-5128 | 2005-07-20 |
| 1750815973 | Emily J Tompkins | Obstetrics & Gynecology | 500 Rue De La Vie St, Suite 413, Baton Rouge, LA 70817-5127 | 2017-04-13 |
| 1134651060 | Felicia Lemoine | Student in an Organized Health Care Education/Training Program | 500 Rue De La Vie St, Suite 413, Baton Rouge, LA 70817-5127 | 2017-03-30 |
| 1477085405 | Kaitlin Mcgrail | Student in an Organized Health Care Education/Training Program | 500 Rue De La Vie St, Suite 413, Baton Rouge, LA 70817-5127 | 2017-03-29 |
| 1811448038 | Ungelica Rose Moses | Nurse Practitioner | 500 Rue De La Vie St, Suite 310, Baton Rouge, LA 70817-5127 | 2016-10-24 |
| 1750832903 | Emma Leigh Hodgkins | Nurse Practitioner | 500 Rue De La Vie St, Suite 405, Baton Rouge, LA 70817-5127 | 2016-10-21 |
| 1962865972 | Diana Sharon Badkoobeh | Student in an Organized Health Care Education/Training Program | 500 Rue De La Vie St, Suite 413, Baton Rouge, LA 70817-5127 | 2016-03-29 |
| 1114314572 | Snigdha Toodi | Student in an Organized Health Care Education/Training Program | 500 Rue De La Vie St, Ste 413, Baton Rouge, LA 70817-5127 | 2015-04-22 |
| 1447646997 | Amy Qian Zhang | Student in an Organized Health Care Education/Training Program | 500 Rue De La Vie St, Suite 412, Baton Rouge, LA 70817-5127 | 2015-04-11 |
| 1194123992 | Elizabeth Buchert, LLC | Obstetrics & Gynecology | 500 Rue De La Vie St, Baton Rouge, LA 70817-5127 | 2014-12-09 |
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|---|---|---|---|---|
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1457821043 | Traci Bellazin | Case Manager/Care Coordinator | 9334 Falling Oak Dr., Baton Rouge, LA 70817 | 2018-11-27 |
| 1124502869 | Jacob Schrieffer | Nurse Practitioner | 15389 Airline Highway, Baton Rouge, LA 70817 | 2018-09-19 |
| 1629564638 | Baton Rouge Dental Associates, LLC | Dentist | 14948 Market St, Baton Rouge, LA 70817 | 2018-07-03 |
| 1740786946 | Charlotte L Watts | Nurse Practitioner | 15389 Airline Hwy, Baton Rouge, LA 70817 | 2018-04-05 |
| 1164957536 | Deranecha Francois | Counselor | 17232 Jefferson Hwy, Apt 121, Baton Rouge, LA 70817 | 2017-04-24 |
| 1992251573 | Jacob Dent, Dds. Baton Rouge Modern Dentistry, A Professional Corp | Dentist | 14640 Village Market St, Suite 103, Baton Rouge, LA 70817 | 2016-09-01 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1962832204 | Bcbr Facility Services, LLC | Clinic/Center | 277 Rue De La Vie, Baton Rouge, LA 70817 | 2013-11-23 |
| 1700225737 | Renee Denise Beyer Boudreaux | Nurse Practitioner | 500 Rue De La Vie, Suite 401, Baton Rouge, LA 70817 | 2013-06-24 |
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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. |
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| 1164049086 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 4950 Essen Ln Fl 5, Baton Rouge, LA 70809-3738 | 2020-06-26 |
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| 1164048740 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 8415 Goodwood Blvd Ste 103, Baton Rouge, LA 70806-7851 | 2020-06-19 |
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| 1699327247 | Orion Laboratories, L.L.C. | Clinical Medical Laboratory | 6949 Commerce Cir Ste C, Baton Rouge, LA 70809-1991 | 2019-07-14 |
| 1801302583 | Lindsai Harris | Clinical Medical Laboratory | 12090 S Harrells Ferry Rd Ste I, Baton Rouge, LA 70816-2470 | 2017-12-18 |
| 1023540465 | Sb Wellness Group | Clinical Medical Laboratory | 520 Shady Lake Pkwy, Baton Rouge, LA 70810-4324 | 2017-04-03 |
| 1104374891 | Premier Lab Testing | Clinical Medical Laboratory | 9542 Brookline Ave, Suite E, Baton Rouge, LA 70809-1492 | 2016-09-12 |
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| City | BATON ROUGE |
| Zip Code | 70817 |
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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.