| NPI | 1306928155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KAY LEVENS Laboratory Manager 985-893-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 19D0694331) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |