Organization
PREMIER LAB TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN BONDS (OWNER)
(225) 270-6647
Entity
Organization
Contact information
Practice address
9542 BROOKLINE AVE, SUITE E, BATON ROUGE, LA 70809-1492
(225) 573-8026
Mailing address
9542 BROOKLINE AVE, SUITE E, BATON ROUGE, LA 70809-1492
(225) 573-8026
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69
—
LA
Enumeration date
09/12/2016
Last updated
09/12/2016
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