Organization
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
Active
Other names
LSU Shreveport HCL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE H SOTAK MHSA (DIRECTOR OF MANAGED CARE)
(318) 675-7737
Entity
Organization
Contact information
Practice address
1501 KINGS HWY, DPEARTMENT OF SURGERY HISTOCOMPATIBILITY LABORATORY, SHREVEPORT, LA 71103-4228
(318) 675-6104
Mailing address
1501 KINGS HWY, DPEARTMENT OF SURGERY HISTOCOMPATIBILITY LABORATORY, SHREVEPORT, LA 71103-4228
(318) 675-6104
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
19D0951857
LA
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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