| NPI | 1639465677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL JONES PROVOST CEO 504-508-0734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 404542930) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |