Organization
ACADIA LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER P GARDINER (OWNER)
(337) 783-0961
Entity
Organization
Contact information
Practice address
715 N EASTERN AVE, CROWLEY, LA 70526-3881
(337) 783-0961
(337) 783-0954
Mailing address
PO BOX 852, CROWLEY, LA 70527-0852
(337) 783-0961
(337) 783-0954
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
42312
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00059
BLUE CROSS BLUE SHIELD
LA
05
—
1131563
—
LA
Enumeration date
03/18/2009
Last updated
03/18/2009
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