IMMUNOLASE LLC NPI 1427416171

NPI Information

  • NPI: 1427416171
  • Provider Name: IMMUNOLASE LLC
  • Classification: Allergy & Immunology - 207KI0005X
  • Specialization: Clinical & Laboratory Immunology
  • Entity Type: Organization
  • Address: 1901 MANHATTAN BLVD BLDG D
    HARVEY, LA
    ZIP 70058
  • Phone: (504) 372-6250

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NPI Details

IMMUNOLASE LLC is a clinical and laboratory immunology allergy immunology in Harvey, LA. The provider is an allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology. IMMUNOLASE LLC NPI is 1427416171. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1901 MANHATTAN BLVD BLDG D
HARVEY, LA
ZIP 70058-583
Phone: (504) 372-6250

The provider's authorized official is Brennen Lark .
The authorized official title is Member/ceo and has the following contact phone number (504) 372-6250.

The enumeration date for this NPI number is 2/9/2016 and was last updated on 3/23/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KI0005XAllergy & ImmunologyClinical & Laboratory Immunology19D2105974LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11386653251OTHERTEXASNPI
21437117751OTHERARIZONANPI
31306275615OTHERARIZONANPI
41851325823OTHERTEXASNPI
51255690483OTHERARIZONANPI
61497794259OTHERMISSISSIPPINPI
71811939606OTHERTEXASNPI
81215993084OTHERTEXASNPI
91891185948OTHERARIZONANPI
101316972656OTHERARIZONANPI
111952739575OTHERARIZONANPI
121427182989OTHERTEXASNPI

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: 11/21/2025

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