Organization
E AND A LABS AND IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID T VANDERMOLEN M.D. (MANAGER)
(318) 841-5800
Entity
Organization
Contact information
Practice address
2401 GREENWOOD RD, SHREVEPORT, LA 71103-4010
(318) 344-4045
Mailing address
2401 GREENWOOD RD, SHREVEPORT, LA 71103-4010
(318) 344-4045
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/03/2012
Last updated
03/18/2020
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