NPI | 1003297227 |
---|---|
Doing Business As | AFFINITY CENTRAL LAB |
Entity Type | Organization |
Authorized Contact | MIKE BREARD Executive Vice President 318-361-0900 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208D00000X General Practice |
207R00000X Internal Medicine | |
207RC0000X Internal Medicine, Cardiovascular Disease | |
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
207XX0005X Orthopaedic Surgery, Sports Medicine | |
207Y00000X Otolaryngology | |
208000000X Pediatrics | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
208600000X Surgery | |
208800000X Urology | |
Enumeration Date | 2015-06-12 |
Last Update Date | 2015-08-21 |