Organization
LAB SITE INC
Active
Other names
86 Norton Ave Ste 3 Arabi, La. 70032
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL J PROVOST MBA HCM (CEO)
(504) 508-0734
Entity
Organization
Contact information
Practice address
86 NORTON AVE, SUITE 3, ARABI, LA 70032
(504) 684-3347
(504) 684-3346
Mailing address
7730 WINDWARD CT, NEW ORLEANS, LA 70128-1339
(504) 508-0734
(972) 291-4304
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1190985
—
LA
Enumeration date
07/27/2006
Last updated
03/30/2010
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