NPI 1134440514

Src International LLC

Organisation Contractor Lafayette, LA

Practice location

Address: 144 Banks Ave, Lafayette, LA 70506-1988
Phone: (337) 504-3596
Mailing address: 509 Camellia Dr, Lafayette, LA 70503-4701

Authorised official

Name: Rachel Cooper
Title: Member
Phone: (337) 504-3596

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1134440514
Entity type: Organization
NPI issued: 19 Jun 2010
Record last updated: 19 Jun 2010

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.