Crescent City Surgical Centre Diagnostics, LLC
NPI 1790679512 · Clinical Medical Laboratory · Florence, AL
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crescent City Surgical Centre Diagnostics, LLC is a Clinical Medical Laboratory organization in Florence, AL (NPI 1790679512).
Provider details
- NPI number
- 1790679512
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- William Bouchillon, Practice Manager(504) 766-9882
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2025-06-05
- Last updated
- 2025-06-05
- Certified
- 2025-06-05
Frequently asked questions
- What is Crescent City Surgical Centre Diagnostics, LLC's NPI number?
- Crescent City Surgical Centre Diagnostics, LLC's National Provider Identifier (NPI) is 1790679512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crescent City Surgical Centre Diagnostics, LLC?
- Crescent City Surgical Centre Diagnostics, LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Crescent City Surgical Centre Diagnostics, LLC located?
- Crescent City Surgical Centre Diagnostics, LLC's practice location on file with NPPES is 2805 W Mall Dr, Florence, AL 35630-1563.
- What is Crescent City Surgical Centre Diagnostics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Crescent City Surgical Centre Diagnostics, LLC is (504) 766-9882.
- Does Crescent City Surgical Centre Diagnostics, LLC accept Medicare?
- Crescent City Surgical Centre Diagnostics, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Crescent City Surgical Centre Diagnostics, LLC?
- The authorized official listed on Crescent City Surgical Centre Diagnostics, LLC's NPPES record is William Bouchillon, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crescent City Surgical Centre Diagnostics, LLC's NPI active?
- Yes — Crescent City Surgical Centre Diagnostics, LLC's NPI (1790679512) is active in the NPPES registry as of the last update on 2025-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.