BLACK WATER LAB LLC

MONROE, LA
NPI1366907701
Entity TypeOrganization
Authorized ContactSUSAN FLUITT
Office Manager
318-410-9900
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2019-02-08
Last Update Date2019-02-22
Business Address
BLACK WATER LAB LLC
4150 OLD STERLINGTON RD STE C
MONROE, LA 71203-2670
Phone number: 318-410-9900
Mailing Address
BLACK WATER LAB LLC
4150 OLD STERLINGTON RD STE C
MONROE, LA 71203-2670
Phone number:
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