Organization
THE DRAW STATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA J PRIMEAUX CLS-G (CEO)
(337) 463-7535
Entity
Organization
Contact information
Practice address
18407 JOHNNY B HALL MEM HWY, ROSEPINE, LA 70659
(337) 463-7535
(337) 202-1897
Mailing address
P.O. BOX 1452, 18407 JOHNNY B HALL MEM HWY, ROSEPINE, LA 70659
(337) 463-7535
(337) 202-1897
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLP.G0073-GEN
LA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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