# OPELOUSAS PET CT IMAGING CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Opelousas PET CT Imaging Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457305492
- **Authorized official:** WILLIAM M. GRACEY (COO)
- **Authorized official phone:** (615) 372-8500

## Contact information

- **Practice address:** 3975 I 49 S SERVICE RD, OPELOUSAS, LA 70570-0775
- **Practice address phone:** (337) 407-8881
- **Practice address fax:** (337) 407-8911
- **Mailing address:** 103 POWELL CT, STE. 200, BRENTWOOD, TN 37027-5079
- **Mailing address phone:** (615) 372-8500
- **Mailing address fax:** (615) 372-8572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 09/09/2008