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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