| NPI | 1699804443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE PIKE BOUDREAUX Office Manager 337-289-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |