NPI 1710277793

Home Testing Management

Organisation Physiological Laboratory Ponchatoula, LA

Practice location

Address: 155 W Hickory St, Ponchatoula, LA 70454-3215
Phone: (855) 881-6086
Fax: (855) 881-6087

Authorised official

Name: Kirk Francis Knecht
Title: Ceo
Phone: (337) 277-9913

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Louisiana →

Registry record

NPI: 1710277793
Entity type: Organization
NPI issued: 12 Apr 2011
Record last updated: 12 Apr 2011

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.