| NPI | 1285986984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL J PROVOST CEO 504-335-8938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA LC40472866D) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |