Basic Information
| Provider Information | |||||||||
| NPI: | 1730676644 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | LABONE, LLC. | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | LABONE, LLC. | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5630 CROWDER BLVD STE 208 | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701272444 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5042416006 | ||||||||
| FaxNumber: | 5042416007 | ||||||||
| Practice Location | |||||||||
| Address1: | 5630 CROWDER BLVD STE 208 | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701272444 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5042416006 | ||||||||
| FaxNumber: | 5042416007 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/16/2018 | ||||||||
| LastUpdateDate: | 06/16/2018 | ||||||||
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| AuthorizedOfficialLastName: | SENTINO | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 5042289255 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 291U00000X | Y | Laboratories | Clinical Medical Laboratory |
No ID Information.