| NPI | 1134360290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER P GARDINER Owner 337-783-0961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 42312) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |