# ADVANCED IMAGING OF LAFAYETTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093784761
- **Authorized official:** MINAL AMIN (VP FINANCE)
- **Authorized official phone:** (800) 544-3215

## Contact information

- **Practice address:** 935 CAMELLIA BLVD, SUITE 101, LAFAYETTE, LA 70508-7084
- **Practice address phone:** (333) 984-2036
- **Practice address fax:** (337) 984-7604
- **Mailing address:** 18201 VON KARMAN AVE STE 600, IRVINE, CA 92612-1176
- **Mailing address phone:** (800) 544-3215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 12/30/2019