NORTHLAKE PATHOLOGY LLC
Medical Laboratory at Doctors Blvd, Hammond, LA

License number
Louisiana 108
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: DR. GREGORY MARK MULA MD
Title: MEDICAL DIRECTOR
Phone: (985) 345-6090
Address
Address
16061 Doctors Blvd STE A, Hammond, LA 70403
National Provider ID: 1356655245
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about NORTHLAKE PATHOLOGY LLC at bizstanding.com

NORTHLAKE PATHOLOGY LLC

Mandeville, LA  -  Hammond, LA

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Jul 12, 2010
Addresses:
108 Random Oaks Ln, Mandeville, LA 70448 (Physical)
16061 Doctors Blvd SUITE A, Hammond, LA 70403 (Mailing)
State ID:
40249445K
Business type:
Limited Liability Company
Manager, Principal:
Gregory Mula (Manager, Principal), 108 Random Oaks Ln, Mandeville, LA 70448 (Physical)
Agent:
David Sherman,1 Galleria Blvd SUITE 1100, Metairie, LA 70001 (Physical)

Medical Laboratory licenses in Louisiana


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