Southern Clinical Laboratory
Organization Active NPI Clinical Medical Laboratory · Arabi, LA
NPI 1639465677 · NPPES record last updated Jun 28, 2011
Key facts
- NPI
- 1639465677
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 404542930 (LA)
- Legal business name
- SOUTHERN CLINICAL LABORATORY
- Practice address
- 86 Norton Ave
Suite 3
Arabi, LA 70032 - Phone
- (504) 682-5334
- Fax
- (504) 682-5336
- NPI assigned
- Jun 28, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Gail Jones Provost, MBA/HCM MASTER HEALT
- Title
- Ceo
- Phone
- (504) 508-0734
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Southern Clinical
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 404542930 | LA | Yes |
Addresses
Primary practice location
86 Norton Ave
Suite 3
Arabi, LA 70032
Mailing address
86 Norton Ave
Suite 3
Arabi, LA 70032
Phone (504) 682-5334
Other providers in Arabi, LA
- Brooke L Pitre
- Doris Marie Reed
- Russell Roy Jr.
- Ronald Ruffin
- Southern Clinical
- Elizabeth Catherine Spence
- St. Bernard Health Center, Inc
- St. Bernard Health Center, Inc.
- Take Care Clinic LLC
- Marissa Tenorio
All providers in Arabi, LA · Clinical Medical Laboratory in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.