# PALMETTO DIAGNOSTICS, LLC

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

## Provider details

- **NPI number:** 1417414426
- **Authorized official:** MICHAEL AUDIE MCGRAW (MANAGING MEMBER)
- **Authorized official phone:** (318) 381-6152

## Contact information

- **Practice address:** 222 CREEK STONE DR, WEST MONROE, LA 71291-0709
- **Practice address phone:** (318) 381-6152
- **Practice address fax:** (855) 373-1948
- **Mailing address:** 222 CREEK STONE DR, WEST MONROE, LA 71291-0709
- **Mailing address phone:** (318) 381-6152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 02/26/2019
- **Last updated:** 01/02/2020