Organization
PACIFIC DIALYSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENE O RANDLE (PRESIDENT/OWNER)
(225) 268-4575
Entity
Organization
Contact information
Practice address
9444 FLORIDA BLVD, BATON ROUGE, LA 70815-1123
(225) 268-4575
(225) 927-7087
Mailing address
9444 FLORIDA BLVD, BATON ROUGE, LA 70815-1123
(225) 268-4575
(225) 927-7087
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
019120
LA
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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