| NPI | 1881963858 |
|---|---|
| Doing Business As | STANOCOLA CLINIC ANCILLARY SERVICES |
| Entity Type | Organization |
| Authorized Contact | RONNIE JOHNSON Chief Executive Officer 225-926-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |