Iles Medical Testing,llc
Clinical Medical Laboratory in Lake Charles, LA. Organization (NPI-2).
NPI number1669984183
StatusActive
Last updated in NPPESOct 20, 2021
Details
- NPI
- 1669984183
- Entity type
- Organization (NPI-2)
- Legal business name
- Iles Medical Testing,llc
- Organization subpart
- No
- Enumeration date
- Oct 25, 2017
- Certification date
- Oct 20, 2021
- Last updated
- Oct 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
3437 Derek DrLake Charles, LA 70607-7533
Phone 337-562-0835 · Fax 337-562-8985
Mailing address
3437 Derek DrLake Charles, LA 70607-7533
Phone 337-562-0835 · Fax 337-562-8985
Authorized official
Dorothy Marie Iles
Director
3375620835
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