| NPI | 1396769709 |
|---|---|
| Other Name | 86 NORTON AVE STE 3 ARABI, LA. 70032 |
| Entity Type | Organization |
| Authorized Contact | GAIL J PROVOST CEO 504-508-0734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2010-03-30 |