Organization
EVANGELINE DIAGNOSTIC CENTER LLC
Active
Other names
Acadian Laboratory Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY S WILKS JR. (OWNER/CEO)
(225) 448-5886
Entity
Organization
Contact information
Practice address
504 JACK MILLER ROAD, SUITE 1, VILLE PLATTE, LA 70586
(337) 363-1465
(337) 363-1418
Mailing address
11842 JUSTICE AVENUE, BATON ROUGE, LA 70816
(225) 448-5886
(225) 292-5956
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
19D0461630
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1369942
—
LA
01
—
19D0461630
CLIA
LA
01
—
36930
BLUE CROSS BLUE SHIELD
LA
Enumeration date
08/23/2005
Last updated
11/21/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us