Provider Demographics
NPI:1457056491
Name:TRUSTED CARE LABS
Entity Type:Organization
Organization Name:TRUSTED CARE LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-390-2041
Mailing Address - Street 1:12290 JULIET ST
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-6598
Mailing Address - Country:US
Mailing Address - Phone:225-390-2041
Mailing Address - Fax:
Practice Address - Street 1:6778 VAN GOGH AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-2762
Practice Address - Country:US
Practice Address - Phone:225-390-2041
Practice Address - Fax:225-351-8629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty