Organization
HOME TESTING MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK FRANCIS KNECHT ANP-BC (CEO)
(337) 277-9913
Entity
Organization
Contact information
Practice address
155 W HICKORY ST, PONCHATOULA, LA 70454-3215
(855) 881-6086
(855) 881-6087
Mailing address
155 W HICKORY ST, PONCHATOULA, LA 70454-3215
(855) 881-6086
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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