Organization
NOLA TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHAY M BROUSSARD (OWNER)
(504) 250-6293
Entity
Organization
Contact information
Practice address
1220 ARTESA DR, MARRERO, LA 70072-5971
(504) 250-6293
Mailing address
1220 ARTESA DR, MARRERO, LA 70072-5971
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/21/2022
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