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1568764124
NORTHLAKE CARDIOLOGY DIAGNOSTICS LLC
SLIDELL, LA
NPI
1568764124
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Entity Type
Organization
Authorized Contact
MADAELIL G. THOMAS
President
985-649-2883
Organization Subpart ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: LA 05592R)
Enumeration Date
2010-12-02
Last Update Date
2010-12-02
Business Address
NORTHLAKE CARDIOLOGY DIAGNOSTICS LLC
1150 ROBERT BLVD SUITE 340
SLIDELL, LA 70458-2004
Phone number: 985-649-2883
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Mailing Address
NORTHLAKE CARDIOLOGY DIAGNOSTICS LLC
1150 ROBERT BLVD SUITE 340
SLIDELL, LA 70458-2004
Phone number: 985-649-2883
Copy
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