Provider Type Icon

AFFINITY HEALTH GROUP LLC NPI 1104274075


NPI Information

NPI: 1104274075
Provider Name: AFFINITY HEALTH GROUP, LLC

Doing Business As: AFFINITY SPECIALTY LAB & X-RAY

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 19D0684544

Address:
2516 BROADMOOR BOULEVARD
SUITE 1C
MONROE, LA
ZIP 71201
Phone: (318) 807-4710
Get Directions

AFFINITY HEALTH GROUP, LLC is a clinical medical laboratory in Monroe, LA. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. AFFINITY HEALTH GROUP, LLC NPI is 1104274075. The provider is registered as an organization entity type.
The provider Is Doing Business As Affinity Specialty Lab & X-ray.

The provider's business location address is:

2516 BROADMOOR BOULEVARD
SUITE 1C
MONROE, LA
ZIP 71201
Phone: (318) 807-4710
Fax: (318) 361-2195

The provider's authorized official is Janet Justice .
The authorized official title is Director Of Operations and has the following contact phone number (318) 807-7875.

The CLIA number assigned to this NPI record is 19D0684544 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/1/2016 and was last updated on 6/1/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.