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Organization
PET CENTER OF LOUISIANA LLC
Active
Organization
PET CENTER OF LOUISIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO MARTINEZ JR. MD (PARTNER)
(504) 887-8728
Entity
Organization
Contact information
Practice address
1495 GAUSE BLVD, SLIDELL, LA 70458-2205
(504) 887-8728
(504) 887-8702
Mailing address
PO BOX 6315, METAIRIE, LA 70009-6315
(985) 345-8867
(985) 542-5322
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
445353
LA
Other
Enumeration date
06/21/2005
Last updated
08/22/2020
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