SPECIALTY DRUG TESTING, LLC (NPI# 1639577091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639577091 |
| Entity Type | Organization |
| Organization Name | SPECIALTY DRUG TESTING, LLC |
| Practice Address |
1300 Finks Hideaway Rd Monroe LA 71203-2804 |
| Practice Telephone | 3184109900 |
| Practice Fax Number | 3184109727 |
| Mailing Telephone | 3184109900 |
| Mailing Fax Number | 3184109727 |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2017-06-14 |
| Authorized Official Name | SUSAN FLUITT (OWNER/OPERATOR) |
| Authorized Official Telephone | 3184109900 |
| Authorized Official Credential | MT,(ASCP) |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 19D2087059 | LA | Laboratories |
| Street Address |
1300 FINKS HIDEAWAY RD |
| City | MONROE |
| State | LA |
| Zip Code | 71203-2804 |
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| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
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| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
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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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| 1104019520 | Cassandra Faye Bethea | Clinical Medical Laboratory | 2007 Stepping Stone Ln, Monroe, NC 28110-7106 | 2007-08-20 |
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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.