Provider Demographics
NPI:1972977486
Name:BARTLEY ENTERPRISE DRUG SCREENING
Entity Type:Organization
Organization Name:BARTLEY ENTERPRISE DRUG SCREENING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:LACHELL
Authorized Official - Last Name:BARTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:318-646-4025
Mailing Address - Street 1:1101 CADDO STREET
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:LA
Mailing Address - Zip Code:71454-0271
Mailing Address - Country:US
Mailing Address - Phone:318-646-4025
Mailing Address - Fax:318-646-4026
Practice Address - Street 1:1101 CADDO STREET
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:LA
Practice Address - Zip Code:71454-0271
Practice Address - Country:US
Practice Address - Phone:318-646-4025
Practice Address - Fax:318-646-4026
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BARTLEY ENTERPRISE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-20
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA057918163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational HealthGroup - Single Specialty