IMAGING CENTER OF SOUTH LOUISIANA, LLC

GRAY, LA
NPI1083610364
Entity TypeOrganization
Authorized ContactDONALD SEVERINUS GERVAIS
Managing Member
985-850-6805
Organization Subpart ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
Enumeration Date2005-06-22
Last Update Date2016-02-03
Business Address
IMAGING CENTER OF SOUTH LOUISIANA, LLC
114 NEUROSCIENCE COURT
GRAY, LA 70359
Phone number: 985-580-2888
Mailing Address
IMAGING CENTER OF SOUTH LOUISIANA, LLC
P.O. BOX 1047
GRAY, LA 70359
Phone number: 985-580-2888
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