Organization
LAFAYETTE DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YERBOL KOSHIMBAYEV (PRESIDENT)
(985) 381-6758
Entity
Organization
Contact information
Practice address
1019 KALISTE SALOOM RD, SUITE # 711, LAFAYETTE, LA 70508-4935
(337) 214-4399
Mailing address
12550 WHITTINGTON DR, SUITE # 804, HOUSTON, TX 77077-4800
(337) 214-4199
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/18/2009
Last updated
01/08/2010
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