NPI 1720212392

Herbert Ichinose, MD Apmc

Organisation Pathology Specialist/Technologist Slidell, LA

Practice location

Address: 1361 Englewood Dr, Slidell, LA 70458-3009
Phone: (985) 781-9005
Fax: (985) 781-9007

Authorised official

Name: Herbert Ichinose
Title: Medical Director, Owner
Phone: (985) 781-9005

Registered specialties (2)

Pathology Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Q00000X Licence MD.008092 (LA)

Other Specialist/Technologist, Pathology providers in Louisiana →

Histology Specialist/Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QH0600X Licence MD.008092 (LA)

Registry record

NPI: 1720212392
Entity type: Organization
NPI issued: 11 May 2009
Record last updated: 11 May 2009

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.