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ADULT MEDICINE INSTITUTE & DIAGNOSTIC CENTER
NPI 1578885240
Clinic/Center - Primary Care in Gonzales, LA

Active since February 23, 2010CLIA 19D0972006 · Waiver
1937 S BURNSIDE AVE, GONZALES, LA 70737(225) 647-1947(225) 644-3943 Get Directions Write a Review

NPPES record last updated: February 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adult Medicine Institute & Diagnostic Center NPPES

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

ADULT MEDICINE INSTITUTE & DIAGNOSTIC CENTER (NPI 1578885240) is a healthcare organization registered as a primary care in Gonzales, Louisiana and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through March 27, 2028 and lists Carlos Ruben Vazquez, Owner, as its authorized official.

NPPES Registry Identity

NPI1578885240
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameADULT MEDICINE INSTITUTE & DIAGNOSTIC CENTER
Location Address1937 S BURNSIDE AVEGonzales, LA 70737-4632
Mailing Address1937 S Burnside AveGonzales, LA 70737-4632 · (225) 647-1947 · Fax (225) 644-3943
Phone(225) 647-1947
Fax(225) 644-3943
Organization SubpartNo
Authorized OfficialCarlos Ruben VazquezOwner · (225) 647-1947
Enumeration DateFebruary 23, 2010
✔ NPI 1578885240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in LA · 022083
1937 S BURNSIDE AVE, Gonzales, LA 70737
Open in Google Maps ↗

Other Identifiers 2

Medicare UPING58731LA
Medicaid1495859LA

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 19D0972006

Adult Medicine · Gonzales, LA
Active · expires Mar 27, 2028
CLIA Number19D0972006
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorCarlos R. Vazquez
Laboratory Phone(225) 647-1947
Laboratory LocationAdult Medicine2211 South Burnside Ave, Suite 4, Gonzales, LA 70737
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

CAMMIE A HILLIARD MD
Pediatrics
1937 S BURNSIDE AVE
GONZALES, LA 70737
Ascension Parish (225) 765-5500
STEPHANIE COCHRAN WESELAK NP
Nurse Practitioner (Pediatrics)
1937 S BURNSIDE AVE
GONZALES, LA 70737
Ascension Parish (225) 765-5500
RAVEN CHANTEL ANDERSON FERRER MD
Pediatrics
1937 S BURNSIDE AVE
GONZALES, LA 70737
Ascension Parish (225) 765-5500
MISS HEATHER ELIZABETH HYMEL ARNP
Nurse Practitioner (Pediatrics)
1937 S BURNSIDE AVE
GONZALES, LA 70737
Ascension Parish (225) 647-8511
DAWN ZITMAN M.D.
Pediatrics
1937 S BURNSIDE AVE
GONZALES, LA 70737
Ascension Parish (225) 765-5500
TRACY WALLACE MD
Pediatrics
1937 S BURNSIDE AVE
GONZALES, LA 70737
Ascension Parish (225) 765-5500
MRS. PAULA DENISE JULIAN APRN, FNP-C
Nurse Practitioner (Family)
1937 S BURNSIDE AVE
GONZALES, LA 70737
Ascension Parish (225) 647-8511
ELIZABETH NICOLE WALLIS MD
Pediatrics
1937 S BURNSIDE AVE
GONZALES, LA 70737
Ascension Parish (225) 765-5500

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 Adult Medicine Institute & Diagnostic Center's NPI number?

The NPI number for Adult Medicine Institute & Diagnostic Center is 1578885240. It was assigned to this organization in the NPPES registry on February 23, 2010.

Where is Adult Medicine Institute & Diagnostic Center located?

Adult Medicine Institute & Diagnostic Center is located at 1937 S Burnside Ave, Gonzales, LA 70737. The listed phone number is (225) 647-1947.

What is Adult Medicine Institute & Diagnostic Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Adult Medicine Institute & Diagnostic Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0972006) is associated with this NPI, valid through March 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Adult Medicine Institute & Diagnostic Center was last updated on February 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.