Organization
LOUISIANA DEPARTMENT OF HEALTH - OFFICE OF PUBLIC HEALTH
Active
Other names
OPH Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY CROTWELL (PROGRAM MANAGER)
(504) 568-3420
Entity
Organization
Contact information
Practice address
1209 LEESVILLE AVE, BATON ROUGE, LA 70802-4336
(225) 219-5200
(225) 219-4903
Mailing address
P.O. BOX 61979, NEW ORLEANS, LA 70161-1979
(504) 568-3420
(504) 568-8200
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1906930
—
LA
Enumeration date
07/22/2006
Last updated
10/26/2017
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