Organization
PHYSICIANS GROUP LABORATORIES, LLC
Active
Other names
PGL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW YEATES (CEO)
(985) 580-9703
Entity
Organization
Contact information
Practice address
4752 HIGHWAY 311 STE 112, HOUMA, LA 70360-2810
(985) 580-7903
(985) 580-9704
Mailing address
4752 HIGHWAY 311 STE 112, HOUMA, LA 70360-2810
(985) 580-7903
(985) 580-9704
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19D2079393
CLIA
—
Enumeration date
06/27/2014
Last updated
12/22/2022
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