| NPI | 1740888551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHESLIE RENEE HARRIS Owner 337-371-7468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 251E00000X Home Health |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |