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SANDRA THOMPSON CLP-202351-LAB
NPI 1588336879
Pathology - Clinical Laboratory Director, Non-physician in Bastrop, LA

Active since October 04, 2021
6161 POLARIS DR, BASTROP, LA 71220(318) 282-4757 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Sandra Thompson Clp-202351-lab NPPES

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

SANDRA THOMPSON CLP-202351-LAB (NPI 1588336879) is an individual clinical laboratory director, non-physician in Bastrop, Louisiana, licensed in Louisiana (CLP-202351-LAB) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1588336879
Entity TypeIndividualFemale
Primary Taxonomy247ZC0005X
Provider Legal NameSANDRA THOMPSONCredential: CLP-202351-LAB
Location Address6161 POLARIS DRBastrop, LA 71220-3476
Mailing Address6161 Polaris DrBastrop, LA 71220-3476 · (318) 282-4757
Phone(318) 282-4757
Sole ProprietorYes
Enumeration DateOctober 4, 2021
NPPES CertifiedOctober 4, 2021
✔ NPI 1588336879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
License✔ Licensed in LA · CLP-202351-LAB
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
6161 POLARIS DR, Bastrop, LA 71220
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Other Identifiers 1

Medicaid87-2920548LA

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 Sandra Thompson's NPI number?

The NPI number for Sandra Thompson is 1588336879. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Where is Sandra Thompson located?

Sandra Thompson practices at 6161 Polaris Dr, Bastrop, LA 71220. The listed phone number is (318) 282-4757.

What is Sandra Thompson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Sandra Thompson was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.