NPI | 1013918077 |
---|---|
Doing Business As | LOUISIANA IMAGING CENTER OF WEST JEFFERSON |
Entity Type | Organization |
Authorized Contact | EDWIN B. ROSS President 504-391-7650 |
Organization Subpart ? | No |
Primary Taxonomy | 293D00000X Physiological Laboratory |
Enumeration Date | 2005-08-02 |
Last Update Date | 2015-03-18 |