Organization
CYPRUS CLINICAL LABS OF LOUISIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHENOA HARDWICK (DIRECTOR OF LABORATORY OPERATIONS)
(972) 351-0774
Entity
Organization
Contact information
Practice address
1811 REES ST UNIT D, BREAUX BRIDGE, LA 70517-4239
(337) 806-8620
Mailing address
PO BOX 168325, IRVING, TX 75016-8325
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10524692#4PK73
LA
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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