Organization
ADVANTAGE PROFILES L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY COLLIGAN (OWNER)
(337) 706-7906
Entity
Organization
Contact information
Practice address
335 DOUCET RD, SUITE C, LAFAYETTE, LA 70503-3497
(337) 706-7906
(337) 261-0415
Mailing address
335 DOUCET RD, SUITE C, LAFAYETTE, LA 70503-3497
(337) 706-7906
(337) 261-0415
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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