1366377061 NPI number — ORION LABORATORIES, L.L.C.

Table of content: (NPI 1366377061)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366377061 NPI number — ORION LABORATORIES, L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ORION LABORATORIES, L.L.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366377061
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/15/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6300 CORPORATE BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BATON ROUGE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70809-1097
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-923-6070
Provider Business Mailing Address Fax Number:
225-421-3052

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5000 ODONAVAN BLVD STE 104
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WALKER
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70785-6355
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-923-6070
Provider Business Practice Location Address Fax Number:
225-421-3052
Provider Enumeration Date:
06/15/2026

Additional Information

Authorized Official

Authorized Official Last Name:
COLEMAN
Authorized Official First Name:
TANYA
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING COORDINATOR
Authorized Official Telephone Number:
225-923-6070

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 19D2345590 . This is a "CLIA" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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