Organization
NUCLEAR IMAGING LLC
Active
Organization
NUCLEAR IMAGING LLC
Active
Other names
PET Imaging at the Lake
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUKE STEVEN BUJENOVIC M.D. (MEDICAL DIRECTOR)
(225) 769-9797
Entity
Organization
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-6320
(225) 765-6322
Mailing address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-6320
(225) 765-6322
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445681
—
LA
Enumeration date
10/14/2006
Last updated
04/21/2011
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