Organization
RADIOLOGIC-ON-SITE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA A PELLERIN (PRESIDENT)
(337) 456-3586
Entity
Organization
Contact information
Practice address
3909 AMBASSADOR CAFFERY PKWY, SUITE G-2, LAFAYETTE, LA 70503-5280
(337) 456-3586
Mailing address
PO BOX 52108, LAFAYETTE, LA 70505-2108
(337) 456-3586
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
359485
LA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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