Organization
CLINICORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS FRANKLIN (PRESIDENT)
(732) 543-6891
Entity
Organization
Contact information
Practice address
800 N CAUSEWAY BLVD STE 300, MANDEVILLE, LA 70448-4664
(985) 869-5163
Mailing address
800 N CAUSEWAY BLVD STE 300, MANDEVILLE, LA 70448-4664
(985) 869-5163
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
19D2139173
LA
Other
Enumeration date
10/11/2017
Last updated
02/05/2019
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