Organization
AUDUBON FERTILITY LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL RONALD CLISHAM MD (LAB DIRECTOR AND OWNER)
(504) 891-1390
Entity
Organization
Contact information
Practice address
4321 MAGNOLIA ST, NEW ORLEANS, LA 70115-6227
(504) 891-1390
(504) 891-1391
Mailing address
4321 MAGNOLIA ST, NEW ORLEANS, LA 70115-6227
(504) 891-1390
(504) 891-1391
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
19D2010657
LA
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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