Black Water Lab LLC

Black Water Lab LLC is a healthcare organization registered as Clinical Medical Laboratory in Monroe, LA, holding Type 2 (organization) NPI 1366907701 since 2019. The authorized official on file is Susan Fluitt, Office Manager.

✓ Active NPI ✓ Valid NPI checksum

NPI	1366907701
Entity type	Organization (Type 2)
Legal business name	Black Water Lab LLC
Practice address	4150 OLD STERLINGTON RD STE C, Monroe, LA, 71203
Phone	3184109900
Enumeration date	2019-02-08
Last updated in NPPES	2019-02-22

Authorized official

Name	Susan Fluitt
Title	Office Manager
Phone	3184109900

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
291U00000X	Clinical Medical Laboratory	Primary	—	—

Copy-ready billing details

Provider: Black Water Lab LLC
NPI: 1366907701
Taxonomy: 291U00000X (Clinical Medical Laboratory)
Address: 4150 OLD STERLINGTON RD STE C, Monroe, LA, 71203

Verify this record

Cross-check NPI 1366907701 against the authoritative CMS record: view Black Water Lab LLC 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-02-22. Verify at npiregistry.cms.hhs.gov.

Where is Black Water Lab LLC located?

The practice location on file with NPPES is in Monroe, LA.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-02-22.