SOUTHERN UROLOGY LLC
NPI 1467160234
Urology in Lafayette, LA
- Organization
- Urology
- CLIA Number: 19D0460887
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About SOUTHERN UROLOGY LLC
This page provides the complete NPI Profile along with additional information for Southern Urology Llc, a provider established in Lafayette, Louisiana operating as a Urology. The healthcare provider is registered in the NPI registry with number 1467160234 assigned on November 2022. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mark Robert Eldredge (Ao)
- NPI
- 1467160234 Verify this NPI
- Provider Name
- SOUTHERN UROLOGY LLC
- Entity Type
- Organization
- Location Address
- 602 SAINT LANDRY ST LAFAYETTE, LA 70506
- Location Phone
- (337) 235-1200
- Mailing Address
- 602 SAINT LANDRY ST LAFAYETTE, LA 70506
- Mailing Phone
- (337) 235-1200
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-10-2022
- Last Update Date
- 03-13-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 19D0460887
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- FRANK R. BACQUE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Southern Urology Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467160234, enumerated as an "organization" on November 10, 2022.
The provider is located at 602 SAINT LANDRY ST LAFAYETTE, LA 70506 and the phone number is (337) 235-1200.
Urology with taxonomy code 208800000X.
