OUR LADY OF LOURDES REGIONAL MEDICAL CENTER
NPI 1013393677
Internal Medicine in Lafayette, LA

Q: What is Our Lady Of Lourdes Regional Medical Center's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since August 06, 2015CLIA Certified · 3 labs

4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508(337) 470-2147(337) 470-4204 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Our Lady Of Lourdes Regional Medical Center NPPES

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

OUR LADY OF LOURDES REGIONAL MEDICAL CENTER (NPI 1013393677) is a healthcare organization registered as an internal medicine in Lafayette, Louisiana and active in the NPI registry since August 2015. The organization holds 3 active CLIA laboratory certificates and lists Jennifer J Clowers, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1013393677

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameOUR LADY OF LOURDES REGIONAL MEDICAL CENTER

Location Address4801 AMBASSADOR CAFFERY PKWYLafayette, LA 70508-6917

Mailing Address4801 Ambassador Caffery PkwyLafayette, LA 70508-6917 · (337) 470-2147 · Fax (337) 470-4204

Phone(337) 470-2147

Fax(337) 470-4204

Organization SubpartNo

Authorized OfficialJennifer J ClowersVp Finance · (337) 470-2147

Enumeration DateAugust 6, 2015

Last NPPES UpdateAugust 15, 2025

NPPES CertifiedAugust 15, 2025

✔ NPI 1013393677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

4801 AMBASSADOR CAFFERY PKWY, Lafayette, LA 70508

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Other Names 1

Other NameLourdes Hospital Clinics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 19D2130173

Our Lady Of Lourdes Rmc · Lafayette, LA

Active · expires May 2, 2027

CLIA Number19D2130173

Laboratory TypeHospital

Certificate Effective DateMay 3, 2025

Certificate Expiration DateMay 2, 2027

Laboratory DirectorChad Vincent

Laboratory Phone(337) 470-4075

Laboratory LocationOur Lady Of Lourdes Rmc4801 Ambassador Caffery Parkway, Lafayette, LA 70508

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 19D0460969

Our Lady Of Lourdes Regional Pathology · Lafayette, LA

Active · expires Mar 14, 2027

CLIA Number19D0460969

Laboratory TypeHospital

Certificate Effective DateMarch 15, 2025

Certificate Expiration DateMarch 14, 2027

Laboratory DirectorDr. Michael W. Miguez

Laboratory Phone(337) 470-5227

Laboratory LocationOur Lady Of Lourdes Regional Pathology4801 Ambassador Caffery Parkway Attn Laboratory, Lafayette, LA 70508

CLIA data matches this NPI record on: Address

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 19D1079936

Our Lady Of Lourdes Regional Medical Center · Lafayette, LA

Active · expires Feb 10, 2028

CLIA Number19D1079936

Laboratory TypeHospital

Certificate Effective DateFebruary 11, 2026

Certificate Expiration DateFebruary 10, 2028

Laboratory DirectorBlaine Hoppe

Laboratory Phone(337) 470-2131

Laboratory LocationOur Lady Of Lourdes Regional Medical Center4809 Ambassador Caffery Parkway, Suite 350, Lafayette, LA 70508

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MRS. JOLIE GARDNER MIXON APRN

Nurse Practitioner (Family)