| NPI | 1104536648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN S HALE Authorized Official/Owner 337-721-7236 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| 2085D0003X Radiology, Diagnostic Neuroimaging | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2024-04-16 |