Organization
PALMETTO DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AUDIE MCGRAW (MANAGING MEMBER)
(318) 381-6152
Entity
Organization
Contact information
Practice address
222 CREEK STONE DR, WEST MONROE, LA 71291-0709
(318) 381-6152
(855) 373-1948
Mailing address
222 CREEK STONE DR, WEST MONROE, LA 71291-0709
(318) 381-6152
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
01/02/2020
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