Organization
CVT VASCULAR LAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA GUIDRY (LAB DIRECTOR)
(225) 766-0416
Entity
Organization
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 1008, BATON ROUGE, LA 70808-4300
(225) 766-0416
(225) 769-9212
Mailing address
7777 HENNESSY BLVD, SUITE 1008, BATON ROUGE, LA 70808-4300
(225) 766-0416
(225) 769-9212
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110643
—
MS
05
—
1795631
—
LA
Enumeration date
06/09/2006
Last updated
07/21/2022
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