| NPI | 1750722245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL RONALD CLISHAM Lab Director And Owner 504-891-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 19D2010657) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |