Black Water Lab Llc

LBN: Black Water Lab Llc
Black Water Lab Llc is an health care organization with primary practice located at 4150 Old Sterlington Rd Ste C , Monroe LA 71203-2670. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Black Water Lab Llc can be contacted via phone (318) 410-9900, or through Fluitt, Susan via phone (318) 410-9900.

Contact Information

Primary practice address
4150 Old Sterlington Rd Ste C Monroe LA 71203-2670
Phone: (318) 410-9900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fluitt, Susan
Phone: (318) 410-9900

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1366907701
LBN Legal business name Black Water Lab Llc
DBA Doing business as
Authorized official Fluitt, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2019
Last updated Feb 22nd, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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