| NPI | 1114158425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE O RANDLE President/Owner 225-268-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 019120) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |