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Organization

SOUTHERN LABORATORIES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA CELESTINE (OWNER)
(337) 515-7016
Entity
Organization

Contact information

Practice address
2106 ENTERPRISE BLVD, LAKE CHARLES, LA 70601-7666
(337) 515-7016
Mailing address
PO BOX 381, LAKE CHARLES, LA 70602-0381
(337) 515-7061

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
LA

Other

Enumeration date
01/25/2012
Last updated
01/25/2012
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