Mandolin Whitney
Clinical Medical Laboratory in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1336734250
StatusActive
Last updated in NPPESJul 19, 2022
Details
- NPI
- 1336734250
- Entity type
- Individual (NPI-1)
- Name
- Mandolin Whitney
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 3, 2021
- Certification date
- Jul 19, 2022
- Last updated
- Jul 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
8000 Innovation Park DrBaton Rouge, LA 70820-7400
Phone 504-208-0715
Mailing address
8000 Innovation Park DrBaton Rouge, LA 70820-7400
Phone 504-208-0715
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