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Organization
ULTRASOUND SERVICES OF LOUISIANA, LLC
Active
Organization
ULTRASOUND SERVICES OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALVIN DALE VIDRINE CRA RT R N (MANAGING MEMBER)
(337) 594-9637
Entity
Organization
Contact information
Practice address
174 GRANT RD, OPELOUSAS, LA 70570-0720
(337) 594-9637
(337) 514-4268
Mailing address
174 GRANT RD, OPELOUSAS, LA 70570-0720
(337) 594-9637
(337) 514-4268
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
LA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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