- Practice location
- 1901 Manhattan Blvd Bldg D, Harvey, LA 70058-3583
- Phone
- 504-372-6250
- Fax
- —
- Last updated
- March 23, 2018
Immunolase LLC is a healthcare organization based in Harvey, LA. Immunolase LLC practices in Harvey, LA. The NPI Number for Immunolase LLC is 1427416171 and holds a License No. 19D2105974 (LA). The current practice location address for Immunolase LLC is 1901 Manhattan Blvd Bldg D, Harvey, LA 70058-3583 and can be reached out via phone at 504-372-6250.
Provider Profile Details
- NPI Number
- 1427416171
- Provider Name
- Immunolase LLC
- Provider Entity Type
- Organization
- Address
- 1901 Manhattan Blvd Bldg D, Harvey, LA 70058-3583
- Phone Number
- 504-372-6250
- Primary Taxonomy
- Allergy & Immunology, Clinical & Laboratory Immunology · 207KI0005X
- Organization Subpart
- No
- Parent Organization
- Tangible Medical Services LLC
- Authorized Official
- Brennen Lark · Member/Ceo · 504-372-6250
- Provider Enumeration Date
- February 9, 2016
- Last Update Date
- March 23, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1901 Manhattan Blvd Bldg D
Harvey, LA 70058-3583 - City
- Harvey
- State
- Louisiana
- Zip
- 70058-3583
- Phone Number
- 504-372-6250
Provider Business Mailing Address Details
- Address
- Po Box 1414
Sagamore Beach, MA 02562-1414 - City
- Sagamore Beach
- State
- MA
- Zip
- 02562-1414
- Phone Number
- 504-372-6250
License Information
- License Number
- 19D2105974
- License State
- LA
- Taxonomy
- Allergy & Immunology, Clinical & Laboratory Immunology · 207KI0005X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Allergy & Immunology, Clinical & Laboratory Immunology providers near Harvey, LA
View all Allergy & Immunology, Clinical & Laboratory Immunology providers in Harvey →Frequently Asked Questions
What is the NPI number of Immunolase LLC?
The NPI number of Immunolase LLC is 1427416171. It was assigned on February 9, 2016 and is currently active in the NPPES registry.
What is the specialty of Immunolase LLC?
Immunolase LLC is registered under the primary taxonomy Allergy & Immunology, Clinical & Laboratory Immunology (code 207KI0005X), licensed in LA under license number 19D2105974.
Where does Immunolase LLC practice?
The practice location is 1901 Manhattan Blvd Bldg D, Harvey, LA 70058-3583. The office can be reached at 504-372-6250 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427416171 directly on the NPPES registry website.