Organization
LAB SITE CLINICAL LLC
Active
Other names
Lab Site Clinical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL J. PROVOST (CEO)
(504) 237-2189
Entity
Organization
Contact information
Practice address
1799 STUMPF BLVD STE 3, TERRYTOWN, LA 70056-3950
(504) 237-2189
(504) 241-1649
Mailing address
1799 STUMPF BLVD STE 3, TERRYTOWN, LA 70056-3950
(504) 237-2189
(504) 241-1649
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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