| NPI | 1346582400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY BURRELL Owner 504-210-6317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 19d2055006) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |