NPI | 1346488640 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA KAYE CELESTINE Owner 337-515-7016 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA CLP.P00122-PHL) |
Enumeration Date | 2009-01-26 |
Last Update Date | 2009-01-26 |