Pontchartrain Pathology Apmc
Pontchartrain Pathology Apmc is a healthcare organization registered as Anatomic Pathology & Clinical Pathology Physician in Slidell, LA, holding Type 2 (organization) NPI 1174515860 since 2005. The authorized official on file is Jerry Hudson, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174515860 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pontchartrain Pathology Apmc |
| Practice address | 1001 GAUSE BLVD, Slidell, LA, 70458 |
| Phone | 9856498802 |
| Enumeration date | 2005-08-18 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Jerry Hudson |
|---|---|
| Title | President |
| Phone | 9856498802 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1441881 | Medicaid | LA | — |
Copy-ready billing details
Provider: Pontchartrain Pathology Apmc NPI: 1174515860 Taxonomy: 207ZP0102X (Anatomic Pathology & Clinical Pathology Physician) Address: 1001 GAUSE BLVD, Slidell, LA, 70458
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1609879139 | Kraig De Lanzac | Individual | Anesthesiology Physician | Slidell, LA |
| 1427051952 | Melvin Ferlita | Individual | Anesthesiology Physician | Slidell, LA |
| 1245233774 | Matthew Miller | Individual | Anesthesiology Physician | Slidell, LA |
| 1326041856 | Jason Rigol | Individual | Anesthesiology Physician | Slidell, LA |
| 1053314583 | Darren Ruiz | Individual | Anesthesiology Physician | Slidell, LA |
| 1942203476 | Smh Professional Serv at Smh | Organization | Pain Medicine (Anesthesiology) Physician | Slidell, LA |
| 1003819533 | Susan Aycock | Individual | Certified Registered Nurse Anesthetist | Slidell, LA |
| 1093718512 | Catherine Marrione | Individual | Certified Registered Nurse Anesthetist | Slidell, LA |
Verify this record
Cross-check NPI 1174515860 against the authoritative CMS record: view Pontchartrain Pathology Apmc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Pontchartrain Pathology Apmc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.