# LIFETOUCH IMAGING LLC

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

## Provider details

- **NPI number:** 1982361424
- **Authorized official:** PEPPER MARIE BRASSEAUX RVT, RDMS-AB (OWNER/SONOGRAPHER)
- **Authorized official phone:** (337) 288-0736

## Contact information

- **Practice address:** 218 CALDWELL SUGAR RD, YOUNGSVILLE, LA 70592-6698
- **Practice address phone:** (337) 288-0736
- **Mailing address:** 218 CALDWELL SUGAR RD, YOUNGSVILLE, LA 70592-6698
- **Mailing address phone:** (337) 288-0736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | — |
| 305S00000X | Point of Service | — | NULL | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |
| 405300000X | Prevention Professional | — | NULL | — |
| 405300000X | Prevention Professional | — | — | — |

## Other

- **Enumeration date:** 11/18/2021
- **Last updated:** 01/17/2023