NPI | 1700082229 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH R MACK President 225-665-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 202C00000X Independent Medical Examiner (Licence: LA 14885) |
Enumeration Date | 2007-06-22 |
Last Update Date | 2020-08-22 |