| NPI | 1104472117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY HOOD LANDRY Compliance Officer 225-766-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |