| NPI | 1326102633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY A. HEBERT Manager 337-233-1987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2009-11-18 |