Organization
AUDUBON PATHOLOGY LLC
Active
Organization
AUDUBON PATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM P LONG MD (OWNER)
(504) 361-3757
Entity
Organization
Contact information
Practice address
1141 WHITNEY AVE BLDG 3, GRETNA, LA 70056-5011
(504) 361-3757
(504) 361-3132
Mailing address
1141 WHITNEY AVE BLDG 3, GRETNA, LA 70056-5011
(504) 361-3757
(504) 361-3132
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
023755
LA
291U00000X
Clinical Medical Laboratory
023755
LA
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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