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Organization
RELIAPATH LLC, A PROFESSIONAL MEDICAL LIMITED LIABILITY COMPANY
Active
Organization
RELIAPATH LLC, A PROFESSIONAL MEDICAL LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA D ALTMANN M.D. (AUTHORIZED REPRESENTATIVE)
(337) 365-5944
Entity
Organization
Contact information
Practice address
1810 BERTRAND DR, LAFAYETTE, LA 70506-2055
(337) 233-1899
(337) 233-1923
Mailing address
1810 BERTRAND DR, LAFAYETTE, LA 70506-2055
(337) 233-1899
(337) 233-1923
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
07/29/2007
Last updated
02/16/2011
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