Provider Demographics
NPI:1043575103
Name:LPS TOXICOLOGY LABORATORIES LLC
Entity Type:Organization
Organization Name:LPS TOXICOLOGY LABORATORIES LLC
Other - Org Name:CLARITY DIAGNOSTIC LABORATORIES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DELEGATE OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:FELICITAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HAINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-609-3459
Mailing Address - Street 1:1441 CANAL ST STE 200
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2714
Mailing Address - Country:US
Mailing Address - Phone:504-609-3459
Mailing Address - Fax:504-323-1056
Practice Address - Street 1:1441 CANAL ST STE 200
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112
Practice Address - Country:US
Practice Address - Phone:504-304-6232
Practice Address - Fax:504-304-6237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-05
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory