| 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 |