# CARDIOVASCULAR IMAGING OF LOUISIANA

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

## Provider details

- **NPI number:** 1649594359
- **Authorized official:** ADAM BROUSSARD (CO OWNER)
- **Authorized official phone:** (337) 288-1551

## Contact information

- **Practice address:** 2671 MAIN HWY, BREAUX BRIDGE, LA 70517-6637
- **Practice address phone:** (337) 288-1551
- **Mailing address:** 2671 MAIN HWY, BREAUX BRIDGE, LA 70517-6637
- **Mailing address phone:** (337) 288-1551

## Taxonomy

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

## Other

- **Enumeration date:** 03/24/2010
- **Last updated:** 08/16/2010