Provider Demographics
NPI:1730834698
Name:BENCHMARK LABORATORIES OF LA, LLC
Entity type:Organization
Organization Name:BENCHMARK LABORATORIES OF LA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWAIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-777-2739
Mailing Address - Street 1:63O VILLAGE LANE NORTH
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471
Mailing Address - Country:US
Mailing Address - Phone:985-777-2739
Mailing Address - Fax:
Practice Address - Street 1:630 VILLAGE LN N
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-2946
Practice Address - Country:US
Practice Address - Phone:985-777-2739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory