Provider Demographics
NPI:1861572430
Name:METROLAB, INC.
Entity type:Organization
Organization Name:METROLAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARD-PERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-897-8020
Mailing Address - Street 1:3525 PRYTANIA ST
Mailing Address - Street 2:SUITE 611
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3500
Mailing Address - Country:US
Mailing Address - Phone:504-897-8020
Mailing Address - Fax:504-897-5625
Practice Address - Street 1:3525 PRYTANIA ST
Practice Address - Street 2:SUITE 611
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3500
Practice Address - Country:US
Practice Address - Phone:504-897-8020
Practice Address - Fax:504-897-5625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1364517Medicaid
LA36338OtherBLUE CROSS OF LOUISIANA
LA1364517Medicaid