| NPI | 1053595751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARUN JOLLY Owner 504-236-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 03D1063366) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2019-09-13 |