NPI 1356655245

Northlake Pathology LLC

Organisation Clinical Medical Laboratory Hammond, LA

Practice location

Address: 16061 Doctors Blvd STE a, Hammond, LA 70403-1499
Phone: (985) 345-6090

Authorised official

Name: Gregory Mark Mula
Title: Medical Director
Phone: (985) 345-6090

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 108 (LA)

Other Clinical Medical Laboratory providers in Louisiana →

Registry record

NPI: 1356655245
Entity type: Organization
NPI issued: 3 Aug 2010
Record last updated: 3 Aug 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.