| NPI | 1417345703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH DUGAS Practice Manager 337-989-8795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 021643) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |