Provider Demographics
NPI:1982025193
Name:NORTH AMERICAN TOXICOLOGY
Entity Type:Organization
Organization Name:NORTH AMERICAN TOXICOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:RHETT
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-525-0829
Mailing Address - Street 1:50 EAST CT STE 7A
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-7798
Mailing Address - Country:US
Mailing Address - Phone:214-618-5600
Mailing Address - Fax:214-618-7733
Practice Address - Street 1:50 EAST CT STE 7A
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-7798
Practice Address - Country:US
Practice Address - Phone:214-618-5600
Practice Address - Fax:214-618-7733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-16
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory