Healthcare Provider Details

I. General information

NPI: 1265504823
Provider Name (Legal Business Name): PECOT & PADGETT APMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 LA RUE FRANCE
LAFAYETTE LA
70508-3103
US

IV. Provider business mailing address

2217 OLD JEANERETTE RD
NEW IBERIA LA
70563-8687
US

V. Phone/Fax

Practice location:
  • Phone: 337-233-5711
  • Fax: 337-232-4457
Mailing address:
  • Phone: 337-560-5558
  • Fax: 337-365-3134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State

VIII. Authorized Official

Name: RONALD PADGETT
Title or Position: CEO
Credential: M.D.
Phone: 337-948-8206