NPI | 1982361424 |
---|---|
Entity Type | Organization |
Authorized Contact | PEPPER MARIE BRASSEAUX Owner/Sonographer 337-288-0736 |
Organization Subpart ? | No |
Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
261QH0100X Clinic/Center, Health Services | |
261QR0208X Clinic/Center, Radiology, Mobile | |
305S00000X Point of Service | |
405300000X Prevention Professional | |
Enumeration Date | 2021-11-18 |
Last Update Date | 2023-01-17 |