Provider First Line Business Practice Location Address:
1601 PERDIDO ST RM 10G-167
Provider Second Line Business Practice Location Address:
SLVHCS DEPT OF PATHOLOGY
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70112-1262
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-723-4094
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/30/2009