Organization
GENTOX LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHENOA HARDWICK (DIRECTOR OF LABORATORIES OPERATIONS)
(972) 351-0774
Entity
Organization
Contact information
Practice address
1811 REES ST, SUITE C, BREAUX BRIDGE, LA 70517-4239
(337) 376-5090
(337) 376-5051
Mailing address
1811 REES ST, SUITE C, BREAUX BRIDGE, LA 70517-4239
(337) 376-5090
(337) 376-5051
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MD204883
LA
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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