Organization · NPI-2

Genetic Services Of Louisiana

Medical Genetics, Ph.D. Medical Genetics · Baton Rouge, LA

NPI number1750428223
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1750428223
Entity type
Organization (NPI-2)
Legal business name
Genetic Services Of Louisiana
Organization subpart
No
Enumeration date
Jan 31, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
170100000X Medical Genetics, Ph.D. Medical Genetics––Yes

Practice location

9050 Airline Hwy
Baton Rouge, LA 70815-4103

Phone 225-231-5381

Mailing address

5339 O Donovan Drive
Baton Rouge, LA 70808

Phone 225-231-5381

Authorized official

Duane W. Superneau
Director
2252315381

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