Provider Demographics
NPI:1013178144
Name:STERLING WELLNESS SOLUTIONS, L.L.C.
Entity Type:Organization
Organization Name:STERLING WELLNESS SOLUTIONS, L.L.C.
Other - Org Name:STERLING LABS OF OPELOUSAS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KELBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:377-783-7840
Mailing Address - Street 1:210 W MILL ST
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70526-5656
Mailing Address - Country:US
Mailing Address - Phone:337-783-7840
Mailing Address - Fax:337-783-7848
Practice Address - Street 1:1200 HOSPITAL DR STE 7
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-6552
Practice Address - Country:US
Practice Address - Phone:337-948-1511
Practice Address - Fax:337-948-1504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA19D1029799291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory