Organization
ARDINARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE SLATER RN (CO OWNER)
(504) 478-9318
Entity
Organization
Contact information
Practice address
172 JULIA DR, AVONDALE, LA 70094-2825
(504) 478-9318
Mailing address
1911 MIRABEAU AVE, NEW ORLEANS, LA 70122-3248
(504) 478-9318
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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