| NPI | 1811187529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA D ALTMANN Authorized Representative 337-365-5944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-07-29 |
| Last Update Date | 2011-02-16 |