| NPI | 1982098067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA TEBAULT Owner / Sole Member 504-221-9531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: LA 41808123k) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |