Healthcare Provider Details

I. General information

NPI: 1295640209
Provider Name (Legal Business Name): BATON ROUGE LABS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9542 BROOKLINE AVE STE A
BATON ROUGE LA
70809-1492
US

IV. Provider business mailing address

9542 BROOKLINE AVE STE A
BATON ROUGE LA
70809-1492
US

V. Phone/Fax

Practice location:
  • Phone: 225-242-9654
  • Fax:
Mailing address:
  • Phone: 225-242-9654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: JESSICA SHROPSHIRE
Title or Position: DIRECTOR
Credential:
Phone: 225-333-7331