NPI 1871002451

Bonsai Medical LLC

Organisation Physiological Laboratory Metairie, LA

Practice location

Address: 3900 N Causeway Blvd STE 1470, Metairie, LA 70002-7253
Phone: (281) 930-5182
Mailing address: 6232 N Highway 146, Baytown, TX 77523-1000

Authorised official

Name: Peter J Bennett
Title: Owner
Phone: (281) 547-0706

Registered specialties (3)

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Louisiana →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

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Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

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Registry record

NPI: 1871002451
Entity type: Organization
NPI issued: 26 Sep 2017
Record last updated: 22 Jan 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.