NPI 1790679512

Crescent City Surgical Centre Diagnostics, LLC

Organisation Clinical Medical Laboratory Florence, AL

Practice location

Address: 2805 W Mall Dr, Florence, AL 35630-1563
Phone: (504) 766-9882
Fax: (504) 504-5211

Authorised official

Name: William Lawrence Bouchillon
Title: Practice Manager
Phone: (504) 766-9882

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Alabama →

Registry record

NPI: 1790679512
Entity type: Organization
NPI issued: 5 Jun 2025
Record last updated: 5 Jun 2025

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.