| NPI | 1437383106 |
|---|---|
| Doing Business As | LSU SHREVEPORT HCL |
| Entity Type | Organization |
| Authorized Contact | MELANIE H SOTAK Director Of Managed Care 318-675-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 19D0951857) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |