| NPI | 1366683971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM P LONG Owner 504-361-3757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology (Licence: LA 023755) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: LA 023755) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |