| NPI | 1487892238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY MARIE ROGERS Owner 337-493-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 200573) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |