Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Water Lab LLC

Organization Clinical Medical Laboratory · NPI 1366907701

Black Water Lab LLC is a Clinical Medical Laboratory in Monroe, Louisiana. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4150 Old Sterlington Rd Ste C
Monroe, LA 71203-2670
Phone: (318) 410-9900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1366907701
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Fluitt — Office Manager · (318) 410-9900
NPI enumeratedFebruary 8, 2019
Last updated in NPPESFebruary 22, 2019
Mailing address4150 Old Sterlington Rd Ste C, Monroe, LA 71203-2670

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