| NPI | 1881717577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE SCHUPBACH ST. CYR Radiologic Technologist 225-924-2424 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: LA 7009) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-09-07 |