National Provider Identifier Database

SKINPATH DIAGNOSTICS LLC
Physiological Laboratory, (Independent Physiological Lab)

A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.


Contact Information

SKINPATH DIAGNOSTICS LLC
3000 KNIGHT STREET
BLDG 5 SUITE 220
SHREVEPORT, LA71105
Phone: 318-841-9526
Fax: 318-841-9551
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for SKINPATH DIAGNOSTICS LLC

NPI Number 1306117460
Legal business name
LBN
SKINPATH DIAGNOSTICS LLC
Authorized official RYAN MATHERNE - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/21/2012
Last updated 04/19/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • LA Medicaid: 1500615

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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