Provider Demographics
NPI:1033602776
Name:CLINICAL STICKS ,LLC
Entity type:Organization
Organization Name:CLINICAL STICKS ,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-595-5116
Mailing Address - Street 1:1 GALLERIA BLVD STE 1900
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-7553
Mailing Address - Country:US
Mailing Address - Phone:504-656-4071
Mailing Address - Fax:
Practice Address - Street 1:104 WESTMARK BLVD BLDG STE 2A
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-7344
Practice Address - Country:US
Practice Address - Phone:337-595-5116
Practice Address - Fax:800-541-8319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-07
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service