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Organization
CENTRAL LOUISIANA IMAGING CENTER LLC
Active
Organization
CENTRAL LOUISIANA IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFED AMEEN MANSOUR JR. MD (DIRECTOR)
(318) 442-8399
Entity
Organization
Contact information
Practice address
3704 NORTH BLVD, SUITE 1, ALEXANDRIA, LA 71301
(318) 442-8399
(318) 448-9897
Mailing address
3704 NORTH BLVD, SUITE 1, ALEXANDRIA, LA 71301
(318) 442-8399
(318) 448-9897
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447226
—
LA
Enumeration date
07/09/2005
Last updated
05/23/2008
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