NPI 1538342431

Ambrose Carroll Thibodeaux, MT

Practitioner Medical Technologist Opelousas, LA

Practice location

Address: 1015 Choctaw Dr, Opelousas, LA 70570-6567
Phone: (337) 934-6453

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X Licence CLP.G02111-GEN (LA)

Other Specialist/Technologist, Pathology providers in Louisiana →

Registry record

NPI: 1538342431
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2007
Record last updated: 13 Dec 2007

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.