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Organization

LOUISIANA STATE UNIVERSITY HEALTH SCIENCES C ENTER PATHOLOGY DEPARTMEN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES D. COTELINGAM M.D. (DIRECTOR OF CLINICAL LABORATORY)
(318) 675-4430
Entity
Organization

Contact information

Practice address
1541 KINGS HWY, CLINICAL LAB.ROOM C2-5-HOSPITAL, SHREVEPORT, LA 71130-3932
(318) 675-4430
(318) 675-4883
Mailing address
5675 MIRADOR CIR, SHREVEPORT, LA 71119-4009
(318) 675-4430
(318) 675-4883

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
MD.12041R
LA

Other

Enumeration date
12/01/2006
Last updated
08/22/2020
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