Organization
AWC LAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE BEASON (PRESIDENT)
(225) 387-1611
Entity
Organization
Contact information
Practice address
150 CORA DR, BATON ROUGE, LA 70815-4201
(225) 387-1611
(225) 343-5300
Mailing address
150 CORA DR, BATON ROUGE, LA 70815-4201
(225) 387-1611
(225) 343-5300
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
19D2093699
LA
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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