Southern Laboratories LLC
NPI #1003187741 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1003187741
- Entity Type
- Organization
- Organization Name
- Southern Laboratories LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jan 25, 2012
- Last Updated
- Jan 25, 2012
Practice Location
- Address
- 2106 ENTERPRISE BLVD
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70601-7666
- Phone
- (337) 515-7016
Authorized Official
- Name
- BRENDA CELESTINE
- Title
- OWNER
- Phone
- (337) 515-7016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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