| Sara Samadzadeh, MD | |
|
830 W Bayou Pines Dr, Lake Charles, LA 70601 | |
| (373) 312-1310 | |
| Not Available |
| Full Name | Sara Samadzadeh |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 830 W Bayou Pines Dr, Lake Charles, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023543873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A165409 (California) | Primary |
| Entity Name | The Pathology Laboratory, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215917588 PECOS PAC ID: 0941240782 Enrollment ID: O20050511000192 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Samadzadeh, MD 1501 Kings Hwy, Shreveport, LA 71103-4228 Ph: (310) 938-4285 | Sara Samadzadeh, MD 830 W Bayou Pines Dr, Lake Charles, LA 70601 Ph: (373) 312-1310 |
Dr. Robert L Rumsey, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 830 W Bayou Pines Dr, Lake Charles, LA 70601 Phone: 337-436-9557 Fax: 337-312-1311 | |
Dr. Brandi J Kelly, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 830 W Bayou Pines Dr, Lake Charles, LA 70601 Phone: 337-436-9557 Fax: 337-312-1311 | |
Dr. Regina Saretta Burton, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 830 W Bayou Pines Dr, Lake Charles, LA 70601 Phone: 337-436-9557 | |
Dr. Stephanie Sara Richard, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 830 W Bayou Pines Dr, Lake Charles, LA 70601 Phone: 337-436-9557 Fax: 337-312-1311 | |
Gault Henry Townsend, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 830 Bayou Pines Dr, The Pathology Laboratory, Lake Charles, LA 70601 Phone: 337-436-9557 Fax: 337-439-3085 | |
Carl Gregory Bowling, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1701 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-494-3190 Fax: 337-494-2464 |