| NPI | 1497135362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI G OLIVIER Manager 337-331-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: LA 96204) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |