Provider Demographics
NPI:1720334006
Name:PERFORMANCE SCREENING
Entity Type:Organization
Organization Name:PERFORMANCE SCREENING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN-ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-563-0021
Mailing Address - Street 1:2438 ALBANY ST
Mailing Address - Street 2:STE A
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70062-5244
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2438 ALBANY ST
Practice Address - Street 2:STE A
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-5244
Practice Address - Country:US
Practice Address - Phone:504-563-0021
Practice Address - Fax:866-712-9777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory