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Organization

IMAGING SERVICES OF LOUISIANA LLC

Active
Other names
dba Women's Imaging Centre-Lafayette
Organization subpart
No

Provider details

NPI number
Authorized official
LAVELLE HARDIN (CREDENTIALING & ENROLLMENT ANALYST)
(615) 344-8203
Entity
Organization

Contact information

Practice address
5000 AMBASSADOR CAFFERY PARKWAY BLDG 10, LAFAYETTE, LA 70508
(337) 993-8300
(357) 521-9159
Mailing address
5000 AMBASSADOR CAFFERY PARKWAY BLDG 10, LAFAYETTE, LA 70508
(337) 993-8300
(357) 521-9159

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
261QR0200X
Radiology Clinic/Center
Primary
261QR0206X
Mammography Clinic/Center

Other

Enumeration date
03/26/2008
Last updated
04/11/2008
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