Provider Demographics
NPI:1770201485
Name:STONE ENTERTAINMENT AND PRODUCTION DIAGNOSTICS
Entity type:Organization
Organization Name:STONE ENTERTAINMENT AND PRODUCTION DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:WARRICK
Authorized Official - Last Name:MERCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-230-5181
Mailing Address - Street 1:615 BARONNE STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113-1023
Mailing Address - Country:US
Mailing Address - Phone:504-827-1050
Mailing Address - Fax:504-910-9624
Practice Address - Street 1:615 BARONNE STREET
Practice Address - Street 2:SUITE 202
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113-1023
Practice Address - Country:US
Practice Address - Phone:504-827-1050
Practice Address - Fax:504-910-9624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory