Burrell Mobile Lab

LBN: Burrell Mobile Lab
Burrell Mobile Lab is an health care organization with primary practice located at 2101 Tower Dr , Monroe LA 71201-5045. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Burrell Mobile Lab can be contacted via phone (504) 210-6317, or through Burrell, Jeremy via phone (504) 210-6317.

Contact Information

Primary practice address
2101 Tower Dr Monroe LA 71201-5045
Phone: (504) 210-6317
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burrell, Jeremy
Phone: (504) 210-6317

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 19D2055006 Louisiana

Profile Details

NPI number 1346582400
LBN Legal business name Burrell Mobile Lab
DBA Doing business as
Authorized official Burrell, Jeremy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2013
Last updated Mar 26th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346582400 NPPES
Louisiana MEDICAID 19D2055006

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