Organization
ACADIANA FAMILY PRACTICE LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID DARBONNE MT(ASCP) (PRESIDENT)
(337) 334-7558
Entity
Organization
Contact information
Practice address
717 CURTIS DR, RAYNE, LA 70578-8311
(337) 334-7558
(337) 334-7559
Mailing address
717 CURTIS DR, RAYNE, LA 70578-8311
(337) 334-7558
(337) 334-7559
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
19D0688964
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336181
—
LA
Enumeration date
01/05/2007
Last updated
02/16/2017
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