| NPI | 1255360558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD CHORETTE Physician/ Supervising Physician 318-387-3453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2008-01-09 |