Healthcare Provider Details

I. General information

NPI: 1780566323
Provider Name (Legal Business Name): CHRISTEN JANAE' DIEL DCLS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 NEW CHAPEL HILL RD
CALHOUN LA
71225-8182
US

IV. Provider business mailing address

908 NEW CHAPEL HILL RD
CALHOUN LA
71225-8182
US

V. Phone/Fax

Practice location:
  • Phone: 318-355-8662
  • Fax:
Mailing address:
  • Phone: 318-355-8662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number302318
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: