Mag LLC
NPI #1295911527 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1295911527
- Entity Type
- Organization
- Organization Name
- Mag LLC
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Jan 16, 2008
- Last Updated
- Apr 8, 2010
Practice Location
- Address
- 11737 WENTLING AVENUE
- Address 2
- SUITE A
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70816-6053
- Phone
- (225) 413-7375
Authorized Official
- Name
- BRUCE GRIZZAFFI
- Title
- CEO/PARTNER
- Phone
- (225) 413-7375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physiological Laboratory |
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