Organization
PRIORITY LABORATORY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISREAL BENNETT JR. MT(ASCP) NCA (CLS) (LAB DIRECTOR)
(504) 231-4176
Entity
Organization
Contact information
Practice address
4700 WICHERS DR, SUITE 303, MARRERO, LA 70072-3041
(504) 218-0717
(504) 218-2301
Mailing address
4700 WICHERS DR, SUITE 303, MARRERO, LA 70072-3041
(504) 218-0717
(504) 218-2301
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
19D2009795
LA
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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