| NPI | 1770153090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENNEN D LARK Director Of Business Development 504-494-3543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-08-05 |