Organization
TLM DIAGNOSTICS LLC
Active
Other names
DOCTORS LAB
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA POIMBOEUF BSMT(ASCP) (PRESIDENT)
(318) 861-0252
Entity
Organization
Contact information
Practice address
9441 STEVENS RD, SUITE 100, SHREVEPORT, LA 71106-7567
(318) 861-0252
Mailing address
9441 STEVENS RD, SUITE 100, SHREVEPORT, LA 71106-7567
(318) 861-0252
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
19D0463281
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19D2087051
CLIA ID NUMBER
LA
Enumeration date
02/22/2016
Last updated
02/22/2016
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