Organization
RIVERPARK LABORATORY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMBRAHIM SEKI MD (MEDICAL DIRECTOR)
(318) 336-9370
Entity
Organization
Contact information
Practice address
107 FRONT ST, VIDALIA, LA 71373-2836
(318) 336-9370
(318) 336-6095
Mailing address
107 FRONT ST, VIDALIA, LA 71373-2836
(318) 336-9370
(318) 336-6095
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
LA
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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