Organization
MOBILE X-RAY OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY A. HEBERT (MANAGER)
(337) 233-1987
Entity
Organization
Contact information
Practice address
1021 COOLIDGE BLVD., LAFAYETTE, LA 70503-0000
(337) 412-6702
(337) 504-2158
Mailing address
910 HARDING ST, LAFAYETTE, LA 70503-2450
(337) 412-6702
(337) 504-2158
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
11/18/2009
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