# TLC MOBILE MEDICAL OF LAFAYETTE, INC

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

## Provider details

- **NPI number:** 1326017153
- **Authorized official:** MS. BRENDA S LEBLANC (OWNER)
- **Authorized official phone:** (281) 346-0801

## Contact information

- **Practice address:** 110 HUGH WALLIS RD, LAFAYETTE, LA 70508-2107
- **Practice address phone:** (337) 289-5456
- **Practice address fax:** (337) 289-0119
- **Mailing address:** PO BOX 80735, LAFAYETTE, LA 70598-0735
- **Mailing address phone:** (281) 346-0801
- **Mailing address fax:** (281) 346-0802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 01/02/2008