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BLUEBONNET FAMILY CLINIC, LLC
NPI 1932397882
Clinic/Center - Primary Care in Baton Rouge, LA

Active since October 04, 2007CLIA 19D1039363 · Waiver
9241 BLUEBONNET BLVD, SUITE B, BATON ROUGE, LA 70810(225) 757-6031(225) 757-6035 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bluebonnet Family Clinic, Llc NPPES

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

BLUEBONNET FAMILY CLINIC, LLC (NPI 1932397882) is a healthcare organization registered as a primary care in Baton Rouge, Louisiana and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Marykutty J Thomas, Owner, as its authorized official.

NPPES Registry Identity

NPI1932397882
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBLUEBONNET FAMILY CLINIC, LLC
Location Address9241 BLUEBONNET BLVD, SUITE BBaton Rouge, LA 70810-2808
Mailing Address9241 Bluebonnet Blvd, Suite BBaton Rouge, LA 70810-2808 · (225) 757-6031 · Fax (225) 757-6035
Phone(225) 757-6031
Fax(225) 757-6035
Organization SubpartNo
Authorized OfficialMarykutty J ThomasOwner · (225) 757-6031
Enumeration DateOctober 4, 2007
✔ NPI 1932397882 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 · 022386
9241 BLUEBONNET BLVD, Baton Rouge, LA 70810
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING24406LA
Medicaid1676471LA
Medicare PIN5CQ91LA

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 19D1039363

Bluebonnet Family Clinic Baton Rouge General Physicians · Baton Rouge, LA
Active · expires Apr 2, 2028
CLIA Number19D1039363
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorDanielle Pawlichuk
Laboratory Phone(225) 333-3590
Laboratory LocationBluebonnet Family Clinic Baton Rouge General Physicians8680 Bluebonnet Blvd, Suite A, Baton Rouge, LA 70810
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Bluebonnet Family Clinic, LLC's NPI number?

The NPI number for Bluebonnet Family Clinic, LLC is 1932397882. It was assigned to this organization in the NPPES registry on October 4, 2007.

Where is Bluebonnet Family Clinic, LLC located?

Bluebonnet Family Clinic, LLC is located at 9241 Bluebonnet Blvd Suite B, Baton Rouge, LA 70810. The listed phone number is (225) 757-6031.

What is Bluebonnet Family Clinic, LLC's specialty?

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

Does Bluebonnet Family Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1039363) is associated with this NPI, valid through April 2, 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 Bluebonnet Family Clinic, LLC was last updated on October 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.