Organization
PREMIER LABORATORY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE BROUSSARD (OWNER / CFO)
(337) 347-5892
Entity
Organization
Contact information
Practice address
105 PARK WEST DR, SCOTT, LA 70583-8902
(337) 347-5892
(337) 703-4554
Mailing address
105 PARK WEST DR, SCOTT, LA 70583-8902
(337) 347-5892
(337) 703-4554
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
19D2043534
LA
Other
Enumeration date
06/08/2012
Last updated
01/17/2019
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