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

Crescent City Surgical Centre Diagnostics, LLC

Organization Clinical Medical Laboratory · NPI 1790679512

Crescent City Surgical Centre Diagnostics, LLC is a Clinical Medical Laboratory in Florence, Alabama. Registered with an NPI since 2025.

In the registry since
2025
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

2805 W Mall Dr
Florence, AL 35630-1563
Phone: (504) 766-9882
Fax: (504) 504-5211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1790679512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Bouchillon — Practice Manager · (504) 766-9882
NPI enumeratedJune 5, 2025
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address2805 W Mall Dr, Florence, AL 35630-1563

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