| NPI | 1780614800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L HILBURN CEO 337-233-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: LA 19D0461034) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-09-07 |