NPI 1003187741

Southern Laboratories LLC

Organisation Clinical Medical Laboratory Lake Charles, LA

Practice location

Address: 2106 Enterprise Blvd, Lake Charles, LA 70601-7666
Phone: (337) 515-7016
Mailing address: PO Box 381, Lake Charles, LA 70602-0381

Authorised official

Name: Brenda Celestine
Title: Owner
Phone: (337) 515-7016

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Louisiana →

Registry record

NPI: 1003187741
Entity type: Organization
NPI issued: 25 Jan 2012
Record last updated: 25 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.