Organization
ADVANCED CYTOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY L HILBURN (CEO)
(337) 233-5711
Entity
Organization
Contact information
Practice address
217 LA RUE FRANCE, LAFAYETTE, LA 70508-3103
(337) 233-5711
(337) 232-4457
Mailing address
PO BOX 52607, LAFAYETTE, LA 70505-2607
(337) 233-5711
(337) 232-4457
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1542539
—
LA
Enumeration date
08/13/2006
Last updated
08/22/2020
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