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1760734685
PONTCHARTRAIN DIAGNOSTIC IMAGING LLC
COVINGTON, LA
NPI
1760734685
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Entity Type
Organization
Authorized Contact
MICHAEL DAVID HALL
Radiologist
985-792-5537
Organization Subpart ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
Enumeration Date
2012-10-03
Last Update Date
2012-11-13
Business Address
PONTCHARTRAIN DIAGNOSTIC IMAGING LLC
95 JUDGE TANNER BLVD
COVINGTON, LA 70433-7500
Phone number: 985-867-4050
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Mailing Address
PONTCHARTRAIN DIAGNOSTIC IMAGING LLC
681 BOCAGE LN
MANDEVILLE, LA 70471-1605
Phone number: 985-792-5537
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