Northlake Pathology LLC

NPI #1356655245 in Hammond, Louisiana

Provider Information

NPI Number
1356655245
Entity Type
Organization
Organization Name
Northlake Pathology LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Aug 3, 2010
Last Updated
Aug 3, 2010

Practice Location

Address
16061 DOCTORS BLVD STE A
ZIP Code
70403-1499
Phone
(985) 345-6090

Authorized Official

Name
DR. GREGORY MARK MULA, MD
Title
MEDICAL DIRECTOR
Phone
(985) 345-6090

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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