| NPI | 1477566503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L HILBURN CEO 337-233-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 19D0945385) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |