Organization
D & G HOLDINGS, LLC
Active
Other names
DRS LAB
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACIE T UNDERWOOD (ACCOUNT MANAGER)
(318) 390-7611
Entity
Organization
Contact information
Practice address
8516 STODDARD ST, PLEASANT HILL, LA 71065-4607
(318) 796-3894
(318) 796-2104
Mailing address
PO BOX 7161, SHREVEPORT, LA 71137-7161
(318) 390-7611
(318) 949-5123
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1191132
—
LA
01
—
BLUE CROSS OF LA
PROVIDER ID
LA
01
—
P00063345
RAILROAD MEDICARE
LA
Enumeration date
04/19/2007
Last updated
11/07/2007
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