# FRIENDLY CARE DIAGNOSTIC SERVICES INC

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

## Provider details

- **NPI number:** 1679862403
- **Authorized official:** SERGO KUTELIA (CEO)
- **Authorized official phone:** (818) 219-7003

## Contact information

- **Practice address:** 3216 N TURNBULL DR, SUITE C, METAIRIE, LA 70002-5732
- **Practice address phone:** (504) 885-6932
- **Practice address fax:** (504) 885-2987
- **Mailing address:** 3216 N TURNBULL DR, SUITE C, METAIRIE, LA 70002-5732
- **Mailing address phone:** (504) 885-6932
- **Mailing address fax:** (504) 885-2987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2011
- **Last updated:** 04/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2111205 | — | LA |