NPI 1306117460

Skinpath Diagnostics LLC

Organisation Physiological Laboratory Shreveport, LA

Practice location

Address: 3000 Knight Street Bldg 5 Suite 220, Shreveport, LA 71105
Phone: (318) 841-9526
Fax: (318) 841-9551

Authorised official

Name: Ryan J Matherne
Title: Medical Director
Phone: (985) 446-5888

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Louisiana →

Registry record

NPI: 1306117460
Entity type: Organization
NPI issued: 21 Jan 2012
Record last updated: 19 Apr 2018

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.