Organization
MEDICAL & DIAGNOSTIC CLINIC,LLC
Active
Parent organization
MEDICAL & DIAGNOSTIC CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL & DIAGNOSTIC CLINIC, LLC
Authorized official
DR. IRSHAN CHAUDARY DC,DACNB,FACFN (CEO)
(225) 761-1981
Entity
Organization
Contact information
Practice address
10620 TIMBERLAKE AVE, BLDG 3, BATON ROUGE, LA 70810-6614
(225) 761-1981
(225) 761-1983
Mailing address
10620 TIMBERLAKE AVE, BLDG 3, BATON ROUGE, LA 70810-6614
(225) 761-1981
(225) 761-1983
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
1266
LA
Other
Enumeration date
01/07/2013
Last updated
04/10/2013
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