Organization
CENTRAL LOUISIANA IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFED AMEEN MANSOUR JR. MD (DIRECTOR)
(318) 442-8399
Entity
Organization
Contact information
Practice address
3704 NORTH BLVD, SUITE 1, ALEXANDRIA, LA 71301
(318) 442-8399
(318) 448-9897
Mailing address
3704 NORTH BLVD, SUITE 1, ALEXANDRIA, LA 71301
(318) 442-8399
(318) 448-9897
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447226
—
LA
Enumeration date
07/09/2005
Last updated
05/23/2008
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