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NPI Code Detail

MEDICARE: GLOBAL LAB

MEDICARE: GLOBAL LAB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1912514407
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLOBAL LAB
Provider Business Mailing Address
First Line : 4374 STUD HOSS RD
Second Line :
City : COLLINSTON
State : LA
Zip : 71229-8973
Country : US
Telephone Number : 318-732-3713
Fax Number :
Provider Business Practice Location Address
First Line : 201 CENTURY VILLAGE BLVD STE 226
Second Line :
City : MONROE
State : LA
Zip : 71203-2008
Country : US
Telephone Number : 318-732-3713
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MR. JEREMY BURRELL
Credential :
Telephone Number : 318-732-3713
Provider Enumeration Date : 09/28/2020
Last Update Date : 08/24/2021

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Directions to “GLOBAL LAB ” Practice Location

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