Organization
THOMAS L GARDINER
Active
Other names
ACADIA LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L GARDINER SR. (OWNER)
(337) 783-0961
Entity
Organization
Contact information
Practice address
715 N EASTERN AVE, CROWLEY, LA 70526-3856
(337) 783-0961
(337) 783-0954
Mailing address
PO BOX 852, CROWLEY, LA 70527-0852
(337) 783-0961
(337) 783-0954
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00059
BLUE CROSS BLUE SHIELD
LA
05
—
1131563
—
LA
Enumeration date
07/10/2007
Last updated
06/12/2008
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