Organization
IMPRESSIVE DIAGNOSTICS
Active
Other names
Impressive Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALYN N MARSHALL (ADMINISTRATIVE MANAGER)
(504) 209-1906
Entity
Organization
Contact information
Practice address
7011 READ BLVD STE I, NEW ORLEANS, LA 70127
(504) 209-1906
Mailing address
7011 READ BLVD STE I, NEW ORLEANS, LA 70127-2244
(504) 209-1906
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19D2148153
CLINICAL LABORATORY IMPROVEMENT AMENDMENTS
LA
Enumeration date
06/08/2018
Last updated
06/08/2018
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