# PHYSICIANS IMAGING-HOUMA ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHYSICIANS IMAGING-HOUMA, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477712156
- **Legal business name:** PHYSICIANS IMAGING-HOUMA, LLC
- **Authorized official:** MR. JOHN H MCDONALD (CFO)
- **Authorized official phone:** (337) 562-9711

## Contact information

- **Practice address:** 132 VALHI LAGOON XING, HOUMA, LA 70360-3208
- **Practice address phone:** (985) 360-0834
- **Practice address fax:** (985) 360-0864
- **Mailing address:** 4650 LAKE ST, LAKE CHARLES, LA 70605-5416
- **Mailing address phone:** (337) 562-9711
- **Mailing address fax:** (337) 562-9737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247100000X | Radiologic Technologist | — | NULL | Yes |
| 247100000X | Radiologic Technologist | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2008
- **Last updated:** 06/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1040053 | — | LA |