NPI 1295911527
Mag LLC
Practice location
- Address
- 11737 Wentling Avenue Suite a, Baton Rouge, LA 70816-6053
- Phone
- (225) 413-7375
- Fax
- (225) 208-1400
- Mailing address
- 8738 Grand View Drive, Baton Rouge, LA 70809-5230
Authorised official
- Name
- Bruce Grizzaffi
- Title
- Ceo/Partner
- Phone
- (225) 413-7375
Registered specialties
Physiological Laboratory
Primary
Registry record
- NPI
- 1295911527
- Entity type
- Organization
- NPI issued
- 16 Jan 2008
- Record last updated
- 8 Apr 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.