NPI | 1033602776 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNE GILBERT Owner 337-595-5116 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2018-06-07 |
Last Update Date | 2024-07-18 |