| 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 |