IMMUNOLASE LLC
NPI 1427416171
Allergy & Immunology - Clinical & Laboratory Immunology in Harvey, LA

Q: What is Immunolase LLC's NPI number?

The NPI number for Immunolase LLC is 1427416171. It was assigned to this organization in the NPPES registry on February 9, 2016.

Q: What is Immunolase LLC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Clinical & Laboratory Immunology, with taxonomy code 207KI0005X.

Q: When was this NPI record last updated?

The NPPES record for Immunolase LLC was last updated on March 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since February 09, 2016

1901 MANHATTAN BLVD BLDG D, HARVEY, LA 70058(504) 372-6250 Get Directions Write a Review

NPPES record last updated: March 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2018, Aug 22, 2017, Aug 17, 2017 and 7 more (10 updates tracked since 2016).

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About Immunolase Llc NPPES

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

IMMUNOLASE LLC (NPI 1427416171) is a healthcare organization registered as a clinical & laboratory immunology in Harvey, Louisiana and active in the NPI registry since February 2016. The organization lists Brennen Lark, Member/ceo, as its authorized official.

NPPES Registry Identity

NPI1427416171

Entity TypeOrganization

Primary Taxonomy207KI0005X

Legal Business NameIMMUNOLASE LLC

Location Address1901 MANHATTAN BLVD BLDG DHarvey, LA 70058-3583

Mailing AddressPo Box 1414Sagamore Beach, MA 02562-1414 · (504) 372-6250

Phone(504) 372-6250

Organization SubpartNo

Authorized OfficialBrennen LarkMember/ceo · (504) 372-6250

Enumeration DateFebruary 9, 2016

Last NPPES UpdateMarch 23, 201810 updates tracked since enumeration

✔ NPI 1427416171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · Clinical & Laboratory ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207KI0005X

License✔ Licensed in LA · 19D2105974

Definition

An allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology.

1901 MANHATTAN BLVD BLDG D, Harvey, LA 70058

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Other Identifiers 12

Other1386653251TX · Npi

Other1437117751AZ · Npi

Other1306275615AZ · Npi

Other1851325823TX · Npi

Other1255690483AZ · Npi

Other1497794259MS · Npi

Other1811939606TX · Npi

Other1215993084TX · Npi

Other1891185948AZ · Npi

Other1316972656AZ · Npi

Other1952739575AZ · Npi

Other1427182989TX · Npi

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

Other Providers at the Same Location NPPES 12

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

BARTHELEMY'S OPTICAL, LLC

Ophthalmology (Retina Specialist)

1901 MANHATTAN BLVD BLDG D, SUITE 121
HARVEY, LA 70058

Jefferson Parish (504) 372-6326

SHAWNTA GARDENER LPC

Counselor (Professional)