Evangeline Diagnostic Center Llc in Ville Platte - Clinical Medical Laboratory
Evangeline Diagnostic Center Llc - NPI 1518950732
Evangeline Diagnostic Center Llc is a Clinical Medical Laboratory in Ville Platte, Louisiana. Evangeline Diagnostic Center Llc practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Evangeline Diagnostic Center Llc is 1518950732. The last update date is 2019-11-21.
Evangeline Diagnostic Center Llc's current location address is 504 Jack Miller Road, Suite 1, Ville Platte, Louisiana. You can contact this provider via phone number 3373631465 and fax number 3373631418. The mailing address for Evangeline Diagnostic Center Llc is 504 Jack Miller Road, Suite 1, Ville Platte, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evangeline Diagnostic Center Llc |
|---|---|
| Address | 504 Jack Miller Road, Suite 1, Ville Platte, Louisiana |
| Phone Number | 3373631465 |
| Fax Number | 3373631418 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/CEO |
|---|---|
| Authorized Official Name | Wilks S Terry |
| Telephone Number | 2254485886 |
NPI Number Detail
| NPI Number | 1518950732 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2019-11-21 |
Provider Mailing Address Detail
| Address | 504 Jack Miller Road, Suite 1 |
|---|---|
| City | Ville Platte |
| State | Louisiana (LA) |
| Post Code | 70586 |
| Phone Number | 3373631465 |
| Fax Number | 3373631418 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 19D0461630 |
|
Definition: (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 purp |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19D0461630 | LA | CLIA | |
| 36930 | LA | BLUE CROSS BLUE SHIELD | |
| 1369942 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Evangeline Diagnostic Center Llc by the Centers for Medicare & Medicaid Services?
The Evangeline Diagnostic Center Llc has been issued the NPI (National Provider Identifier) 1518950732, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Evangeline Diagnostic Center Llc's facilities are situated?
The facilities of Evangeline Diagnostic Center Llc are physically located at the following address: 504 Jack Miller Road, Suite 1, Ville Platte, LA, 70586.
What is Evangeline Diagnostic Center Llc's area of expertise and its corresponding taxonomy classification?
The Evangeline Diagnostic Center Llc's field of specialization is Clinical Medical Laboratory, and it falls under the taxonomy code 291U00000X, which categorizes healthcare providers based on their areas of practice.
When did Evangeline Diagnostic Center Llc receive its 1518950732 assignment?
The Evangeline Diagnostic Center Llc was assigned its 1518950732 on 2005-08-23, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Evangeline Diagnostic Center Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Evangeline Diagnostic Center Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-11-21.