# DMX DIAGNOSTICS OF LAKE CHARLES, INC.

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

## Provider details

- **NPI number:** 1699804443
- **Authorized official:** MRS. CHARLENE PIKE BOUDREAUX (OFFICE MANAGER)
- **Authorized official phone:** (337) 289-0882

## Contact information

- **Practice address:** 718 S BUCHANAN ST, SUITE A, LAFAYETTE, LA 70501-6820
- **Practice address phone:** (337) 289-0882
- **Practice address fax:** (337) 289-0304
- **Mailing address:** 718 S BUCHANAN ST, SUITE A, LAFAYETTE, LA 70501-6820
- **Mailing address phone:** (337) 289-0882
- **Mailing address fax:** (337) 289-0304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 08/22/2020