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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLACK WATER LAB LLC

Active Organization

BLACK WATER LAB LLC is a Clinical Medical Laboratory organization located in MONROE, Louisiana. NPI 1366907701 is currently active in the NPPES registry. Verify at CMS.

Clinical Medical Laboratory · MONROE, LA

Registration Details

NPI Number
1366907701
Provider Type
Organization
NPI Issued
Feb 8, 2019 (7.5543845924376 yrs)
Last Updated
Feb 22, 2019

Practice Information

Address
4150 OLD STERLINGTON RD STE C
MONROE, LA, 712032670
Browse LA providers · Browse ZIP 71203
Phone
3184109900
Primary Specialty
Clinical Medical Laboratory
291U00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.