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ST JUDE MEDICAL GROUP LLC
NPI 1396086211
Family Medicine in Lake Charles, LA

Active since March 04, 2013CLIA 19D2053839 · Waiver
4150 NELSON RD, BLDG E SUITE 4, LAKE CHARLES, LA 70605(337) 564-6722 Get Directions Write a Review

NPPES record last updated: March 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Jude Medical Group Llc NPPES

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

ST JUDE MEDICAL GROUP LLC (NPI 1396086211) is a healthcare organization registered as a family medicine in Lake Charles, Louisiana and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Jude Agendia, Owner, as its authorized official.

NPPES Registry Identity

NPI1396086211
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST JUDE MEDICAL GROUP LLC
Location Address4150 NELSON RD, BLDG E SUITE 4Lake Charles, LA 70605-4148
Mailing Address4150 Nelson Rd, Bldg E Suite 4Lake Charles, LA 70605-4148
Phone(337) 564-6722
Organization SubpartNo
Authorized OfficialJude AgendiaOwner · (337) 564-6722
Enumeration DateMarch 4, 2013
✔ NPI 1396086211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4150 NELSON RD, Lake Charles, LA 70605
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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.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 19D2053839

St Jude Medical Group LLC · Lake Charles, LA
Active · expires Feb 6, 2027
CLIA Number19D2053839
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorJude A. Agendia
Laboratory Phone(218) 236-6670
Laboratory LocationSt Jude Medical Group LLC4150 Nelson Road, Building E, Suite 4, Lake Charles, LA 70605
CLIA data matches this NPI record on: Address 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.

CYNTHIA J. SCOTT, MD
Obstetrics & Gynecology
4150 NELSON RD, BLDG B-7
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 474-3307
MAUREEN A OLIVIER M.D.
Dermatology
4150 NELSON RD, BUILDING E SUITE 1
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 474-1386
MR. ROBERT GEISE PHILLIPS CRNA
Nurse Anesthetist, Certified Registered
4150 NELSON RD, A4 ANESTHESIA ASSOCIATES
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 474-6353
MR. RANDALL DALE BIGGS CRNA
Nurse Anesthetist, Certified Registered
4150 NELSON RD, A4 ANESTHESIA ASSOCIATES
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 474-6353
PLASTIC SURGERY ASSOCIATES OF SOUTHWEST LOUISIANA, LLC
Plastic Surgery
4150 NELSON RD, BLDG D STE 2B
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 497-1958
COMPREHENSIVE SURGERY CLINIC, APMC
Specialist
4150 NELSON RD, SUITE B6
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 433-1303
MS. ASHLEY ELIZABETH BELLOW APRN-FNP
Nurse Practitioner (Family)
4150 NELSON RD, SUITE E4
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 564-6722
MR. BRETT ALAN COOLEY CRNA
Nurse Anesthetist, Certified Registered
4150 NELSON RD, A4 ANESTHESIA ASSOCIATES
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 474-6353

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 St Jude Medical Group LLC's NPI number?

The NPI number for St Jude Medical Group LLC is 1396086211. It was assigned to this organization in the NPPES registry on March 4, 2013.

Where is St Jude Medical Group LLC located?

St Jude Medical Group LLC is located at 4150 Nelson Rd Bldg E Suite 4, Lake Charles, LA 70605. The listed phone number is (337) 564-6722.

What is St Jude Medical Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does St Jude Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2053839) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St Jude Medical Group LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana list St Jude Medical Group 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 St Jude Medical Group LLC was last updated on March 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.