Organization
BIOSTAT LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON J. KILGARLIN JR. (CEO)
(318) 798-3306
Entity
Organization
Contact information
Practice address
9742 SAINT VINCENT AVE STE 200, SHREVEPORT, LA 71106
(318) 606-6050
(318) 606-6051
Mailing address
1651 E 70TH ST, PMB 404, SHREVEPORT, LA 71105-5115
(318) 798-3306
(318) 798-3386
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
42273804K
LA
Other
Enumeration date
03/17/2017
Last updated
05/24/2018
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