| NPI | 1275073405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA R MARCANTEL HAMMOND Managing Member/ Owner 337-842-2257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |