| NPI | 1265130025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK JOSEPH GREEN President 504-236-1486 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-09-06 |