Organization
SITTIG MOBILE X-RAY & CARDIOLOGY, INC.
Active
Other names
same
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOHANNA HABETZ SITTIG NONE (OWNER)
(337) 783-4196
Entity
Organization
Contact information
Practice address
711 N AVENUE K, CROWLEY, LA 70526-3848
(337) 783-4196
(337) 783-2400
Mailing address
711 N AVENUE K, CROWLEY, LA 70526-3848
(337) 783-4196
(337) 783-2400
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
19813
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1373257
—
LA
01
—
37794
BLUE CROSS PROVIDER NUMBE
LA
01
—
91151
STERLING LIFE PAYER ID#
LA
01
—
9571091
MUTUAL OF OMAHA PROV.NUM
LA
Enumeration date
06/18/2006
Last updated
08/22/2020
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