| NPI | 1912954520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMRA GAUTHIER Administrator 225-930-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2015-11-23 |