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Organization
IMAGING SERVICES OF LOUISIANA LLC
Active
Organization
IMAGING SERVICES OF LOUISIANA LLC
Active
Other names
dba Women's Imaging Centre-Lafayette
Organization subpart
No
Provider details
NPI number
Authorized official
LAVELLE HARDIN (CREDENTIALING & ENROLLMENT ANALYST)
(615) 344-8203
Entity
Organization
Contact information
Practice address
5000 AMBASSADOR CAFFERY PARKWAY BLDG 10, LAFAYETTE, LA 70508
(337) 993-8300
(357) 521-9159
Mailing address
5000 AMBASSADOR CAFFERY PARKWAY BLDG 10, LAFAYETTE, LA 70508
(337) 993-8300
(357) 521-9159
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
03/26/2008
Last updated
04/11/2008
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