Organization
OPELOUSAS PET CT IMAGING CENTER LLC
Active
Other names
Opelousas PET CT Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M. GRACEY (COO)
(615) 372-8500
Entity
Organization
Contact information
Practice address
3975 I 49 S SERVICE RD, OPELOUSAS, LA 70570-0775
(337) 407-8881
(337) 407-8911
Mailing address
103 POWELL CT, STE. 200, BRENTWOOD, TN 37027-5079
(615) 372-8500
(615) 372-8572
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2006
Last updated
09/09/2008
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