Organization
DYNAMIC DIAGNOSTICS LLC
Active
Organization
DYNAMIC DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID THIGPEN (MANAGER)
(888) 414-2832
Entity
Organization
Contact information
Practice address
10203 HIGHWAY 603, BAY ST LOUIS, MS 39520-8711
(888) 414-2832
Mailing address
44099 AUDUBON CIR, HAMMOND, LA 70403-8203
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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