PATHOLOGY LABORATORY CONSULTANTS APMC (NPI# 1528248556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528248556 |
| Entity Type | Organization |
| Organization Name | PATHOLOGY LABORATORY CONSULTANTS APMC |
| Practice Address |
3933 Convention St Baton Rouge LA 70806-3806 |
| Mailing Address |
Po Box 1736 Shreveport LA 71166-1736 |
| Practice Telephone | 2253877851 |
| Mailing Telephone | 3186777450 |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | DR. RICHARD MILBURN NUNNALLY (OWNER) |
| Authorized Official Telephone | 3186777450 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
007053 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1317055 | 05 | |
| LA | RAILROAD MEDICARE | 220009443 | 01 |
| MS | 09015398 | 05 |
| Street Address |
3933 CONVENTION ST |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194978122 | Pathology Group of Louisiana, A Professional Medical Corporation | Pathology | 5339 Odonovan, Baton Rouge, LA 70808-4388 | 2008-11-04 |
| 1477672251 | Tracy Marie Rauch | Pathology | Pathology Group of Louisiana, 5339 O'donovan Drive, Baton Rouge, LA 70808 | 2007-03-29 |
| 1952437873 | Suzanne Lam | Pathology | 5339 Odonovan Dr, Baton Rouge, LA 70808-4388 | 2007-02-26 |
| 1720183148 | William Noah Bergeron | Pathology | 8768 Quarters Lake Rd, Suite 4, Baton Rouge, LA 70809 | 2006-09-13 |
| 1093733412 | Zarius Drummond | Pathology | 5339 O'donovan Drive, Baton Rouge, LA 70808-4338 | 2006-07-17 |
| 1225098155 | Peggy H. Polk | Pathology | 5339 Odonavan, Baton Rouge, LA 70808-4388 | 2006-03-24 |
| 1124027925 | Leo A. Pei | Pathology | 17000 Medical Center Drive, Baton Rouge, LA 70816 | 2005-07-14 |
| 1104472117 | Pathology Group of Louisiana, A Professional Medical Corporation | Pathology | 5339 Odonovan Dr, Baton Rouge, LA 70808-4388 | 2019-08-15 |
| 1487996591 | Aleksandra Sowder | Pathology | 5339 Odonovan Dr, Baton Rouge, LA 70808-4388 | 2013-03-27 |
| 1457674855 | Jeremy Thomas Spencer | Pathology | 17000 Medical Center Drive, Baton Rouge, LA 70815-3246 | 2010-03-12 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on PATHOLOGY LABORATORY CONSULTANTS APMC.
| 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.