Evangeline Diagnostic Center LLC
NPI #1518950732 in Ville Platte, Louisiana
Provider Information
- NPI Number
- 1518950732
- Entity Type
- Organization
- Organization Name
- Evangeline Diagnostic Center LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Aug 23, 2005
- Last Updated
- Nov 21, 2019
Practice Location
- Address
- 504 JACK MILLER ROAD, SUITE 1
- City
- Ville Platte
- State
- Louisiana
- ZIP Code
- 70586
- Phone
- (337) 363-1465
Authorized Official
- Name
- MR. TERRY S WILKS JR.
- Title
- OWNER/CEO
- Phone
- (225) 448-5886
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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