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Organization

LEESVILLE DIAGNOSTIC CENTER LP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID LEWIS MILLER (SENIOR VICE PRESIDENT)
(877) 892-9813
Entity
Organization

Contact information

Practice address
506 S 6TH ST, STE C, LEESVILLE, LA 71446-4442
(337) 239-2992
(337) 392-8543
Mailing address
506 S 6TH ST, STE C, LEESVILLE, LA 71446-4442
(337) 239-2992
(337) 392-8543

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
21485
LA

Other

Enumeration date
05/27/2005
Last updated
08/22/2020
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