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RAVEN BOUTTE
NPI 1982374187
Pathology - Clinical Pathology in Lafayette, LA

Active since September 18, 2021
4510 AMBASSADOR CAFFERY PKWAY, LAFAYETTE, LA 70508(337) 458-3835 Get Directions Write a Review

NPPES record last updated: September 18, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Raven Boutte NPPES

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

RAVEN BOUTTE (NPI 1982374187) is an individual clinical pathology provider in Lafayette, Louisiana, licensed in Louisiana (1003007) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1982374187
Entity TypeIndividualFemale
Primary Taxonomy207ZC0006X
Provider Legal NameRAVEN BOUTTE
Location Address4510 AMBASSADOR CAFFERY PKWAYLafayette, LA 70508
Mailing Address100 Mcdonald St Apt D17Lafayette, LA 70506 · (337) 458-3835
Phone(337) 458-3835
Sole ProprietorYes
Enumeration DateSeptember 18, 2021
NPPES CertifiedSeptember 18, 2021
✔ NPI 1982374187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZC0006X
License✔ Licensed in LA · 1003007
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
4510 AMBASSADOR CAFFERY PKWAY, Lafayette, LA 70508
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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

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 Raven Boutte's NPI number?

The NPI number for Raven Boutte is 1982374187. It was assigned to this individual provider in the NPPES registry on September 18, 2021.

Where is Raven Boutte located?

Raven Boutte practices at 4510 Ambassador Caffery Pkway, Lafayette, LA 70508. The listed phone number is (337) 458-3835.

What is Raven Boutte's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology, with taxonomy code 207ZC0006X.

When was this NPI record last updated?

The NPPES record for Raven Boutte was last updated on September 18, 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.