| NPI | 1699098491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG MICHAEL MATHERNE President 337-457-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: LA 13221R) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: LA 14666R) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |