Organization
LAKE CHARLES CLINICAL TRIALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KASHINATH YADALAM M.D. (CEO)
(337) 564-6405
Entity
Organization
Contact information
Practice address
ONE LAKESHORE DRIVE,, SUITE 1695, LAKE CHARLES, LA 70629
(337) 564-6405
Mailing address
3712 COBBLESTONE DR, LAKE CHARLES, LA 70605-2571
(337) 564-6405
(337) 656-2564
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD 08664R
LA
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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