| NPI | 1598821399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ANDREW PERRY Director 985-384-3848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 19D0459933) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |