Organization
PATIENT CENTERED DIAGNOSTICS LLC
Active
Organization
PATIENT CENTERED DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONTELL MARIE JOHNSON (OWNER)
(985) 713-2270
Entity
Organization
Contact information
Practice address
1425 LYNN ST STE A, THIBODAUX, LA 70301-4416
(985) 227-9771
(985) 227-9764
Mailing address
1425 LYNN ST, THIBODAUX, LA 70301-4416
(985) 227-9707
(985) 227-9764
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
02/10/2022
Last updated
02/25/2022
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