NPI Details
CRESCENT CITY SURGICAL CENTRE DIAGNOSTICS, LLC is a clinical medical laboratory in Metairie, 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. CRESCENT CITY SURGICAL CENTRE DIAGNOSTICS, LLC NPI is 1942807425. The provider is registered as an organization entity type.
The provider's business location address is:
3016 GALLERIA DR
METAIRIE, LA
ZIP 70001-017
Phone: (504) 766-9882
Fax: (337) 735-1662
The provider's authorized official is William Lawrence Bouchillon .
The authorized official title is Practice Manager and has the following contact phone number (662) 803-6086.
The CLIA number assigned to this NPI record is 19D2087057 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 10/7/2020 and was last updated on 10/20/2025.
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 |
| 1 | 291U00000X | Clinical Medical Laboratory | | | | Yes |
