Organization
FIRST MEDICAL IMAGING, P.A., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM K. MASK M.D. (CEO)
(504) 908-0337
Entity
Organization
Contact information
Practice address
305 CAMBRIDGE DR, LAFAYETTE, LA 70503-4307
(504) 908-0337
(888) 831-9618
Mailing address
305 CAMBRIDGE DR, LAFAYETTE, LA 70503-4307
(504) 908-0337
(337) 706-8930
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11437R
LA
Other
Enumeration date
09/09/2013
Last updated
09/15/2014
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