NPI | 1013540145 |
---|---|
Former Legal Business Name | LAB SITE CLINICAL LLC |
Entity Type | Organization |
Authorized Contact | GAIL J. PROVOST CEO 504-237-2189 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2020-02-18 |
Last Update Date | 2020-02-18 |