Organization
PHYSICIANS IMAGING-IBERVILLE ASSOCIATES LLC
Active
Parent organization
PHYSICIANS IMAGING-IBERVILLE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIANS IMAGING-IBERVILLE LLC
Authorized official
MR. JOHN H MCDONALD (CFO)
(337) 526-9711
Entity
Organization
Contact information
Practice address
59295 RIVER WEST DR, SUITE D, PLAQUEMINE, LA 70764
(225) 238-0034
(225) 238-0064
Mailing address
4650 LAKE ST, LAKE CHARLES, LA 70605-5416
(337) 562-9711
(337) 562-9737
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1039985
—
LA
Enumeration date
06/09/2008
Last updated
06/09/2008
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