19D0929842 CLIA NUMBER - HAROLD R NEITZSCHMAN III MD

Laboratory Demographics

CLIA Number: 19D0929842

Facility Name: HAROLD R NEITZSCHMAN III MD

Facility Address:
1150 ROBERT BOULEVARD, SUITE 350
SLIDELL, LA
ZIP 70458
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Facility Phone Number: 504 641-3742

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1568785160

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	19D0929842
LAB Type	Physician Office
Facility Name	HAROLD R NEITZSCHMAN III MD
Street	1150 ROBERT BOULEVARD, SUITE 350
City	SLIDELL
State	LA
ZIP	70458
Phone	504 641-3742
CertificateType	3
CertificateEffectiveDate	6/25/2023
CertificateExpirationDate	6/24/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024