| NPI | 1891124889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BRUCE GERVAIS Owner/Manager 985-893-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: LA 40873367K) |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2014-04-23 |