Organization
MEDICAL CENTER DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NORTON PITTMAN (OWNER CEO)
(985) 809-0000
Entity
Organization
Contact information
Practice address
67250 INDUSTRY LN, COVINGTON, LA 70433-8716
(985) 809-0000
(985) 898-3827
Mailing address
67250 INDUSTRY LN, COVINGTON, LA 70433-8716
(985) 809-0000
(985) 898-3827
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G1502
BLUE CROSS P.E.T.
LA
Enumeration date
02/01/2007
Last updated
08/22/2020
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