BLACK WATER LAB LLC
NPI 1366907701
Clinical Medical Laboratory in Monroe, LA
About Black Water Lab Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACK WATER LAB LLC (NPI 1366907701) is a healthcare organization registered as a clinical medical laboratory in Monroe, Louisiana and active in the NPI registry since February 2019. The organization lists Susan Fluitt, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Black Water Lab LLC's NPI number?
The NPI number for Black Water Lab LLC is 1366907701. It was assigned to this organization in the NPPES registry on February 8, 2019.
Where is Black Water Lab LLC located?
Black Water Lab LLC is located at 4150 Old Sterlington Rd Ste C, Monroe, LA 71203. The listed phone number is (318) 410-9900.
What is Black Water Lab LLC's specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
When was this NPI record last updated?
The NPPES record for Black Water Lab LLC was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.