Provider Demographics
NPI:1720342884
Name:UTC LABORATORIES LLC
Entity type:Organization
Organization Name:UTC LABORATORIES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:L
Authorized Official - Last Name:LIDSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-304-4893
Mailing Address - Street 1:2239 POYDRAS ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-7561
Mailing Address - Country:US
Mailing Address - Phone:800-532-8016
Mailing Address - Fax:504-304-6229
Practice Address - Street 1:2239 POYDRAS ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-7561
Practice Address - Country:US
Practice Address - Phone:800-532-8016
Practice Address - Fax:504-304-6229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-03
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory