| 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 |