| NPI | 1255175535 |
|---|---|
| Doing Business As | THIBODAUX REGIONAL IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | KIM LEGENDRE BOUDREAUX Director Of Contracting 985-493-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-07-26 |