Organization
LOUISIANA COAGULATION LABORATORY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER KAY LEVENS BS, MT(ASCP) (LABORATORY MANAGER)
(985) 893-6999
Entity
Organization
Contact information
Practice address
71250 HENDRY AVE, COVINGTON, LA 70433-8849
(985) 893-6999
(985) 893-0590
Mailing address
71250 HENDRY AVE, COVINGTON, LA 70433-8849
(985) 893-6999
(985) 893-0590
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3798001
COLL. AMER. PATHOLOGISTS
LA
Enumeration date
10/20/2006
Last updated
08/22/2020
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