Organization
SOUTHEAST NEUROSCIENCE CENTER, LLC
Active
Other names
Imaging Center of South Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE MARTINES (BILLING)
(985) 855-4327
Entity
Organization
Contact information
Practice address
128 NEUROSCIENCE CT, GRAY, LA 70359
(985) 917-3007
(985) 917-3010
Mailing address
128 NEUROSCIENCE CT, GRAY, LA 70359-5209
(985) 917-3007
(985) 917-3010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1947482
—
LA
Enumeration date
06/24/2005
Last updated
04/23/2026
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