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THE BONIN CLINIC LLC
NPI 1003280512
Clinic/Center - Primary Care in Zachary, LA

Active since November 20, 2015CLIA 19D2103572 · Waiver
1215 INDEPENDENCE BLVD, 1A, ZACHARY, LA 70791(225) 570-2010(225) 570-8573 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2024, Jul 15, 2016, Feb 24, 2016 and 1 more (4 updates tracked since 2015).

About The Bonin Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE BONIN CLINIC LLC (NPI 1003280512) is a healthcare organization registered as a primary care in Zachary, Louisiana and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Otto Joseph Bonin, Owner, as its authorized official.

NPPES Registry Identity

NPI1003280512
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTHE BONIN CLINIC LLC
Location Address1215 INDEPENDENCE BLVD, 1AZachary, LA 70791-7390
Mailing Address1215 Independence Blvd, 1aZachary, LA 70791-7390 · (225) 570-2010 · Fax (225) 570-8573
Phone(225) 570-2010
Fax(225) 570-8573
Organization SubpartNo
Authorized OfficialOtto Joseph BoninOwner · (225) 570-2010
Enumeration DateNovember 20, 2015
Last NPPES UpdateJuly 8, 20244 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1003280512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in LA · AP04429
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
1215 INDEPENDENCE BLVD, Zachary, LA 70791
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2103572

The Bonin Clinic LLC · Zachary, LA
Active · expires Oct 14, 2027
CLIA Number19D2103572
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorOtto J. Bonin
Laboratory Phone(225) 570-2010
Laboratory LocationThe Bonin Clinic LLC1215 Independence Blvd, 1A, Zachary, LA 70791
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNEDY KYLE PEDEAUX
Behavior Technician
1215 INDEPENDENCE BLVD
ZACHARY, LA 70791
East Baton Rouge Parish (225) 286-1547
LEONA C WALLACE
Behavior Technician
1215 INDEPENDENCE BLVD
ZACHARY, LA 70791
East Baton Rouge Parish (225) 286-1547
MARY HAILE
Behavior Technician
1215 INDEPENDENCE BLVD
ZACHARY, LA 70791
East Baton Rouge Parish (225) 286-1547
JOHNATHAN P DAVIS
Behavior Technician
1215 INDEPENDENCE BLVD
ZACHARY, LA 70791
East Baton Rouge Parish (225) 410-5750
DR. ELIZABETH HESS DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
1215 INDEPENDENCE BLVD, BUILDING 1, SUITE B
ZACHARY, LA 70791
East Baton Rouge Parish (225) 570-8808
JACQUALYN LACOMBE BEHAVIOR TECH
Behavior Technician
1215 INDEPENDENCE BLVD
ZACHARY, LA 70791
East Baton Rouge Parish (225) 286-1547
GARIELLE BERNARD
Behavior Technician
1215 INDEPENDENCE BLVD
ZACHARY, LA 70791
East Baton Rouge Parish (225) 286-1547
HANNAH C TALBOT
Behavior Technician
1215 INDEPENDENCE BLVD
ZACHARY, LA 70791
East Baton Rouge Parish (225) 286-1547

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Bonin Clinic LLC's NPI number?

The NPI number for The Bonin Clinic LLC is 1003280512. It was assigned to this organization in the NPPES registry on November 20, 2015.

Where is The Bonin Clinic LLC located?

The Bonin Clinic LLC is located at 1215 Independence Blvd 1A, Zachary, LA 70791. The listed phone number is (225) 570-2010.

What is The Bonin Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does The Bonin Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2103572) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does The Bonin Clinic LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list The Bonin Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Bonin Clinic LLC was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.