Organization
HYBRID TOXICOLOGY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN HANLEY (OWNER)
(901) 336-5602
Entity
Organization
Contact information
Practice address
11606 SOUTHFORK AVE, STE 103, BATON ROUGE, LA 70816-5235
(901) 336-5602
Mailing address
11606 SOUTHFORK AVE, STE 103, BATON ROUGE, LA 70816-5235
(901) 336-5602
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10514968#D5P83
LA
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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