=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710433057
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STONE CLINICAL LABORATORIES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/28/2016
-----------------------------------------------------
Last Update Date | 10/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 615 BARONNE ST STE 100
-----------------------------------------------------
City | NEW ORLEANS
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70113-1023
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-552-1603
-----------------------------------------------------
Fax | 321-256-6061
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 615 BARONNE ST STE 100
-----------------------------------------------------
City | NEW ORLEANS
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70113-1023
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF REVENUE CYCLE MANAGEMEN
-----------------------------------------------------
Name | DANIELLE BAUER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 706-461-3120
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 291U00000X
-----------------------------------------------------
Taxonomy Name | Clinical Medical Laboratory
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------