Organization
DIAGNOSTIC AND INTERVENTIONAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY ALLEN COMEAUX SR. M.D., LLC (DOCTOR/ OWNER)
(225) 408-2820
Entity
Organization
Contact information
Practice address
15475 AIRLINE HWY, BLDG C, BATON ROUGE, LA 70817-7314
(225) 408-2820
(225) 408-2829
Mailing address
15475 AIRLINE HWY, BLDG C, BATON ROUGE, LA 70817-7314
(225) 408-2820
(225) 408-2829
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD204025
LA
Other
Enumeration date
01/19/2015
Last updated
11/06/2019
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