OrganizationActive
Black Water Lab LLC
NPI 1366907701 · Clinical Medical Laboratory · Monroe, LA
Black Water Lab LLC is a Clinical Medical Laboratory organization in Monroe, LA (NPI 1366907701).
Provider details
- NPI number
- 1366907701
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Susan Fluitt, Office Manager(318) 410-9900
Specialties & taxonomies
Laboratories
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4150 Old Sterlington Rd Ste C
Monroe, LA 71203-2670
Phone: (318) 410-9900
Street-level locationGet directions
Mailing address
4150 Old Sterlington Rd Ste C
Monroe, LA 71203-2670
Registry dates
- Enumerated
- 2019-02-08
- Last updated
- 2019-02-22
Frequently asked questions
- What is Black Water Lab LLC's NPI number?
- Black Water Lab LLC's National Provider Identifier (NPI) is 1366907701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Water Lab LLC?
- Black Water Lab LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Black Water Lab LLC located?
- Black Water Lab LLC's practice location on file with NPPES is 4150 Old Sterlington Rd Ste C, Monroe, LA 71203-2670.
- What is Black Water Lab LLC's phone number?
- The practice phone number listed in the NPPES registry for Black Water Lab LLC is (318) 410-9900.
- Who is the authorized official for Black Water Lab LLC?
- The authorized official listed on Black Water Lab LLC's NPPES record is Susan Fluitt, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Water Lab LLC's NPI active?
- Yes — Black Water Lab LLC's NPI (1366907701) is active in the NPPES registry as of the last update on 2019-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.