| NPI | 1154513893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA B LAVERGNE Contracting Supervisor 337-824-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD023693) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2009-05-01 |