Provider Demographics
NPI:1578816948
Name:QUANTUM LABORATORIES LLC
Entity Type:Organization
Organization Name:QUANTUM LABORATORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-744-3004
Mailing Address - Street 1:3535 S SHERWOOD FOREST BLVD SUITE 251
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816
Mailing Address - Country:US
Mailing Address - Phone:225-293-6222
Mailing Address - Fax:225-293-6030
Practice Address - Street 1:3535 S SHERWOOD FOREST BLVD STE 251
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-2255
Practice Address - Country:US
Practice Address - Phone:225-293-6222
Practice Address - Fax:225-293-6030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAXXX291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory