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NPI 1710277793 · Physiological Laboratory · Ponchatoula, LA
Provider details
- NPI number
- 1710277793
- Entity type
- Organization
- Primary specialty
- Physiological LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Kirk Knecht, Ceo(337) 277-9913
Specialties & taxonomies
Laboratories
Practice location
155 W Hickory St
Ponchatoula, LA 70454-3215
Phone: (855) 881-6086
Fax: (855) 881-6087
Approximate (ZIP-level) locationGet directions
Mailing address
155 W Hickory St
Ponchatoula, LA 70454-3215
Registry dates
- Enumerated
- 2011-04-12
- Last updated
- 2011-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.