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MARINGOUIN MEDICAL CENTER, LLC
NPI 1275716078
Clinic/Center - Primary Care in Maringouin, LA

Active since December 14, 2007CLIA 19D1077425 · Microscopy
77695 WAGLEY RD, MARINGOUIN, LA 70757(225) 625-2313(225) 625-2424 Get Directions Write a Review

NPPES record last updated: December 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maringouin Medical Center, Llc NPPES

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

MARINGOUIN MEDICAL CENTER, LLC (NPI 1275716078) is a healthcare organization registered as a primary care in Maringouin, Louisiana and active in the NPI registry since December 2007. The organization holds a CLIA Microscopy certificate valid through December 9, 2027 and lists Kellie Bertrand, Owner, as its authorized official.

NPPES Registry Identity

NPI1275716078
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMARINGOUIN MEDICAL CENTER, LLC
Location Address77695 WAGLEY RDMaringouin, LA 70757-0098
Mailing AddressPo Box 98Maringouin, LA 70757-0098 · (225) 625-2313 · Fax (225) 625-2424
Phone(225) 625-2313
Fax(225) 625-2424
Organization SubpartNo
Authorized OfficialKellie BertrandOwner · (225) 625-2313
Enumeration DateDecember 14, 2007
✔ NPI 1275716078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
77695 WAGLEY RD, Maringouin, LA 70757
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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 for Provider-Performed Microscopy Procedures (PPMP) 19D1077425

Maringouin Medical Center LLC · Maringouin, LA
Active · expires Dec 9, 2027
CLIA Number19D1077425
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorMichael P. Ramagos
Laboratory Phone(225) 625-2105
Laboratory LocationMaringouin Medical Center LLC77595 Landry Drive, Maringouin, LA 70757
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

MRS. CHANTELLE LAURA CORRENT JOHNSON FNP-C
Nurse Practitioner (Family)
77695 WAGLEY RD
MARINGOUIN, LA 70757
Iberville Parish (225) 625-2313

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 Maringouin Medical Center, LLC's NPI number?

The NPI number for Maringouin Medical Center, LLC is 1275716078. It was assigned to this organization in the NPPES registry on December 14, 2007.

Where is Maringouin Medical Center, LLC located?

Maringouin Medical Center, LLC is located at 77695 Wagley Rd, Maringouin, LA 70757. The listed phone number is (225) 625-2313.

What is Maringouin Medical Center, LLC's specialty?

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

Does Maringouin Medical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 19D1077425) is associated with this NPI, valid through December 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maringouin Medical Center, LLC was last updated on December 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.