| NPI | 1790679512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LAWRENCE BOUCHILLON Practice Manager 504-766-9882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-05 |