Basic Information
| Provider Information | |||||||||
| NPI: | 1831399880 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZHANG | ||||||||
| FirstName: | YANZHENG | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 800 | ||||||||
| Address2: | |||||||||
| City: | ZACHARY | ||||||||
| State: | LA | ||||||||
| PostalCode: | 707910800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2255708486 | ||||||||
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| Practice Location | |||||||||
| Address1: | 20203 MACHOST RD | ||||||||
| Address2: | |||||||||
| City: | ZACHARY | ||||||||
| State: | LA | ||||||||
| PostalCode: | 707917236 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2255708486 | ||||||||
| FaxNumber: | 2254103725 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2007 | ||||||||
| LastUpdateDate: | 01/05/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 247ZC0005X | 321037 | LA | Y | Technologists, Technicians & Other Technical Service Providers | Pathology | Clinical Laboratory Director, Non-physician | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
ID Information
| ID | Type | State | Issuer | Description | 1831399880 | 01 | NPI | OTHER |