| NPI | 1821394537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PARKINS President 985-377-9855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |