| NPI | 1811653991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN GAST Manager 985-635-6943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography |
| Additional Taxonomies | 247100000X Radiologic Technologist |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2022-02-02 |