Organization
NONINVASIVE VASCULAR LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM W HARKRIDER JR. MD (OWNER)
(337) 364-7226
Entity
Organization
Contact information
Practice address
602 N LEWIS ST, STE 100, NEW IBERIA, LA 70563-2093
(337) 364-7226
(337) 364-7238
Mailing address
602 N LEWIS ST, STE 100, NEW IBERIA, LA 70563-2093
(337) 364-7226
(337) 364-7238
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1796182
—
LA
Enumeration date
08/09/2005
Last updated
07/21/2022
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