Provider Demographics
NPI:1063509479
Name:BIOMOLECULAR ENVIRONMENTAL SYNTHESIS AND TESTING LABORATORIES INC
Entity Type:Organization
Organization Name:BIOMOLECULAR ENVIRONMENTAL SYNTHESIS AND TESTING LABORATORIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LABORATORY DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:X
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:SR
Authorized Official - Credentials:PHD
Authorized Official - Phone:504-897-3833
Mailing Address - Street 1:2822 S SARATOGA ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-5120
Mailing Address - Country:US
Mailing Address - Phone:504-897-3833
Mailing Address - Fax:504-891-2039
Practice Address - Street 1:2822 S SARATOGA ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-5120
Practice Address - Country:US
Practice Address - Phone:504-897-3833
Practice Address - Fax:504-891-2039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1966690Medicaid
MS00112088Medicaid
MS00112088Medicaid