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Organization

LOUISIANA DIAGNOSTIC LABORATORY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN HANNAH (MEMBER)
(501) 225-1400
Entity
Organization

Contact information

Practice address
2216 FORSYTHE AVE STE A, MONROE, LA 71201-3652
(501) 225-1400
Mailing address
4850 NORTHSHORE LN, NORTH LITTLE ROCK, AR 72118-5329
(501) 225-1400

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
12/08/2020
Last updated
03/29/2021
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