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SOUTHERN UROLOGY LLC
NPI 1467160234
Urology in Lafayette, LA

Active since November 10, 2022CLIA 19D0460887 · Microscopy
602 SAINT LANDRY ST, LAFAYETTE, LA 70506(337) 235-1200 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 13, 2023, Nov 21, 2022, Nov 10, 2022 (3 updates tracked since 2022).

About Southern Urology Llc NPPES

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

SOUTHERN UROLOGY LLC (NPI 1467160234) is a healthcare organization registered as an urology in Lafayette, Louisiana and active in the NPI registry since November 2022. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Mark Robert Eldredge, Ao, as its authorized official.

NPPES Registry Identity

NPI1467160234
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSOUTHERN UROLOGY LLC
Location Address602 SAINT LANDRY STLafayette, LA 70506-4628
Mailing Address602 Saint Landry StLafayette, LA 70506-4628 · (337) 235-1200
Phone(337) 235-1200
Organization SubpartYesParent: Southern Urology, Llc
Authorized OfficialMark Robert EldredgeAo · (337) 769-7779
Enumeration DateNovember 10, 2022
Last NPPES UpdateMarch 13, 20233 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1467160234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
602 SAINT LANDRY ST, Lafayette, LA 70506
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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

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) 19D0460887

Southern Urology · Lafayette, LA
Active · expires Aug 31, 2026
CLIA Number19D0460887
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorFrank R. Bacque
Laboratory Phone(337) 235-1200
Laboratory LocationSouthern Urology602 St Landry St, Lafayette, LA 70506
CLIA data matches this NPI record on: Name Phone
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.

MR. FRANK R BACQUE M.D.
Specialist
602 SAINT LANDRY ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 235-1200

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 Southern Urology LLC's NPI number?

The NPI number for Southern Urology LLC is 1467160234. It was assigned to this organization in the NPPES registry on November 10, 2022.

Where is Southern Urology LLC located?

Southern Urology LLC is located at 602 Saint Landry St, Lafayette, LA 70506. The listed phone number is (337) 235-1200.

What is Southern Urology LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Southern Urology LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 19D0460887) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Urology LLC was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.