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NPI 1366907701

OrganizationActive

Black Water Lab LLC

NPI 1366907701 · Clinical Medical Laboratory · Monroe, LA

Provider details

NPI number: 1366907701
Entity type: Organization
Primary specialty: Clinical Medical LaboratoryLaboratories
Authorized official: Susan Fluitt, Office Manager

Practice location

4150 Old Sterlington Rd Ste C

Monroe, LA 71203-2670

Phone: (318) 410-9900

More LA providers

Mailing address

4150 Old Sterlington Rd Ste C

Monroe, LA 71203-2670

Registry dates

Enumerated: 2019-02-08
Last updated: 2019-02-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Black Water Lab LLC — NPI 1366907701, Monroe, LA | NPI Central