Provider Demographics
NPI:1740482678
Name:JOHNSONS' DRAWING AND PROCESSING LAB, INC
Entity type:Organization
Organization Name:JOHNSONS' DRAWING AND PROCESSING LAB, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HENDERSON
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:3379-484-4841
Mailing Address - Street 1:PO BOX 671
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70571-0671
Mailing Address - Country:US
Mailing Address - Phone:337-948-4481
Mailing Address - Fax:
Practice Address - Street 1:111 S COURT ST
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-5125
Practice Address - Country:US
Practice Address - Phone:337-948-4481
Practice Address - Fax:337-948-4437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LACLP.200901-PHL291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory