Organization
SKINPATH DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN J MATHERNE MD (MEDICAL DIRECTOR)
(985) 446-5888
Entity
Organization
Contact information
Practice address
3000 KNIGHT STREET, BLDG 5 SUITE 220, SHREVEPORT, LA 71105
(318) 841-9526
(318) 841-9551
Mailing address
3000 KNIGHT STREET, BLDG 5 SUITE 220, SHREVEPORT, LA 71105
(318) 841-9526
(318) 841-9551
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1500615
—
LA
Enumeration date
01/21/2012
Last updated
04/19/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us