OrganizationActive
Crescent City Surgical Centre Diagnostics, LLC
NPI 1790679512 · Clinical Medical Laboratory · Florence, AL
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
Established profile(54/100 index)
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
2805 W Mall Dr
Florence, AL 35630-1563
Phone: (504) 766-9882
Fax: (504) 504-5211
Street-level locationGet directions
Mailing address
2805 W Mall Dr
Florence, AL 35630-1563
Registry dates
- Enumerated
- 2025-06-05
- Last updated
- 2025-06-05
- Certified
- 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.