Organization
OUTREACH MOBILE LABS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDINE B. DAIGRE CLP (DIRECTOR)
(225) 366-0406
Entity
Organization
Contact information
Practice address
1051 N 47TH ST, BATON ROUGE, LA 70802-1342
(225) 366-0406
(225) 302-7078
Mailing address
1051 N 47TH ST, BATON ROUGE, LA 70802-1342
(225) 366-0406
(225) 302-7078
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLP.201140-LAB
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821167099
—
LA
Enumeration date
06/19/2013
Last updated
06/19/2013
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