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PEDIATRIC CLINIC OF LAFAYETTE LLC
NPI 1184387177
Pediatrics in Lafayette, LA

Active since October 18, 2021CLIA 19D1007628 · Waiver
104 GENEVIEVE DR, LAFAYETTE, LA 70503(337) 984-0110(337) 981-7210 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Clinic Of Lafayette Llc NPPES

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

PEDIATRIC CLINIC OF LAFAYETTE LLC (NPI 1184387177) is a healthcare organization registered as a pediatrics in Lafayette, Louisiana and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through December 23, 2026 and lists Usha Krishnamoorthy, Billing Office, as its authorized official.

NPPES Registry Identity

NPI1184387177
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC CLINIC OF LAFAYETTE LLC
Location Address104 GENEVIEVE DRLafayette, LA 70503-4811
Mailing Address104 Genevieve DrLafayette, LA 70503-4811 · (337) 984-0110 · Fax (337) 981-7210
Phone(337) 984-0110
Fax(337) 981-7210
Organization SubpartNo
Authorized OfficialUsha KrishnamoorthyBilling Office · (337) 322-6673
Enumeration DateOctober 18, 2021
NPPES CertifiedOctober 18, 2021
✔ NPI 1184387177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
104 GENEVIEVE DR, Lafayette, LA 70503
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Other Identifiers 1

Medicaid2138332LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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

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 19D1007628

Pediatric Clinic Of Lafayette, LLC · Lafayette, LA
Active · expires Dec 23, 2026
CLIA Number19D1007628
Laboratory TypePhysician Office
Certificate Effective DateDecember 24, 2024
Certificate Expiration DateDecember 23, 2026
Laboratory DirectorLoreen Karani
Laboratory Phone(337) 984-0110
Laboratory LocationPediatric Clinic Of Lafayette, LLC104 Genevieve Street, Lafayette, LA 70503
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

LOREEN CHEYE KARANI M.D.
Pediatrics
104 GENEVIEVE DR
LAFAYETTE, LA 70503
Lafayette Parish (337) 984-0110
POWLIN VISWAS MANUEL MD
Pediatrics
104 GENEVIEVE DR
LAFAYETTE, LA 70503
Lafayette Parish (337) 984-0110
ALICIA FAULK NICKLAS NP
Nurse Practitioner (Pediatrics)
104 GENEVIEVE DR
LAFAYETTE, LA 70503
Lafayette Parish (337) 984-0110
JAIME SUHRHOFF WOODRING NP
Nurse Practitioner (Pediatrics)
104 GENEVIEVE DR
LAFAYETTE, LA 70503
Lafayette Parish (337) 984-0110
MANUEL MEDICAL CLINIC, INC.
Pediatrics
104 GENEVIEVE DR
LAFAYETTE, LA 70503
Lafayette Parish (337) 984-0110

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 Pediatric Clinic Of Lafayette LLC's NPI number?

The NPI number for Pediatric Clinic Of Lafayette LLC is 1184387177. It was assigned to this organization in the NPPES registry on October 18, 2021.

Where is Pediatric Clinic Of Lafayette LLC located?

Pediatric Clinic Of Lafayette LLC is located at 104 Genevieve Dr, Lafayette, LA 70503. The listed phone number is (337) 984-0110.

What is Pediatric Clinic Of Lafayette LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatric Clinic Of Lafayette LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1007628) is associated with this NPI, valid through December 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Clinic Of Lafayette LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Pediatric Clinic Of Lafayette 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 Pediatric Clinic Of Lafayette LLC was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.