Organization
ALEXANDRIA PATHOLOGY LABORATORY, LLC
Active
Other names
ROBERTS, PILLARISETTI & MANLAPAZ
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHA G PILLARISETTI M.D. (OWNER/PARTNER)
(318) 443-0941
Entity
Organization
Contact information
Practice address
3330 MASONIC DR, LABORATORY, ALEXANDRIA, LA 71301-3841
(318) 443-0941
(318) 443-5734
Mailing address
PO BOX 12116, 3510 PARLIAMENT CT., ALEXANDRIA, LA 71315-2116
(318) 443-0941
(318) 443-5734
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1069922
CIGNA
LA
01
—
11773
BCBSLA (CLINICAL)
LA
05
—
1189286
—
LA
05
—
1441996
—
LA
01
—
CT0606
PALMETTO GBA - RRMC
LA
01
—
G0919
BCBSLA (ANATOMIC)
LA
Enumeration date
11/08/2005
Last updated
02/10/2010
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