| NPI | 1376649061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES J. BRDLIK Medical Director 337-439-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085B0100X Radiology Body Imaging |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2013-03-05 |