Healthcare Provider Details

I. General information

NPI: 1548613946
Provider Name (Legal Business Name): TRUE LABS,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2016
Last Update Date: 07/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7855 HOWELL BOULEVARD
BATON ROUGE LA
70807
US

IV. Provider business mailing address

7855 HOWELL BOULEVARD
BATON ROUGE LA
70807
US

V. Phone/Fax

Practice location:
  • Phone: 214-888-8099
  • Fax: 214-261-2217
Mailing address:
  • Phone: 225-228-2800
  • Fax: 214-261-2217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number19D2110496
License Number StateLA

VIII. Authorized Official

Name: NIZAR A ALIKHAN
Title or Position: CREDENTIALING CONTACT
Credential:
Phone: 214-888-8099