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Organization

AFFINITY HEALTH GROUP, LLC

Active
Other names
Affinity Health Group Lab
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIKE BREARD (EXECUTIVE VICE PRESIDENT)
(318) 361-0900
Entity
Organization

Contact information

Practice address
2408 BROADMOOR BLVD, MONROE, LA 71201-2963
(318) 807-7875
(318) 812-6603
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
12/26/2014
Last updated
12/26/2014
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