| NPI | 1124292115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEDRA ANNETTE CARRIER Owner 337-515-2674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: LA 3780) |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2008-04-21 |