| NPI | 1033116645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE BOB COURVILLE Supervisor/Owner 337-457-5562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 291U00000X) |
| Enumeration Date | 2005-06-29 |
| Last Update Date | 2020-08-22 |