| NPI | 1356655245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MARK MULA Medical Director 985-345-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 108) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |