Organization
PHYSICIANS ANALYTICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL GREMILLION (PRESIDENT)
(985) 845-4595
Entity
Organization
Contact information
Practice address
804 HEAVENS DRIVE, SUITE 201, MANDEVILLE, LA 70471
(985) 845-8810
Mailing address
PO BOX 8568, MANDEVILLE, LA 70470-8568
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
MD019070
LA
Other
Enumeration date
08/29/2006
Last updated
10/06/2008
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