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 |