Organization
SONOGRAPHERS-ON-SITE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA A. PELLERIN RDMS, RVS (PRESIDENT)
(337) 456-3586
Entity
Organization
Contact information
Practice address
3909 AMBASSADOR CAFFERY PKWY, SUITE G-2, LAFAYETTE, LA 70503-5280
(337) 456-3586
(337) 456-3586
Mailing address
PO BOX 52108, LAFAYETTE, LA 70505-2108
(337) 456-3586
(337) 456-3586
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
359485
LA
2471S1302X
Sonography Radiologic Technologist
Primary
105496
LA
2471V0105X
Vascular Sonography Radiologic Technologist
359485
LA
Other
Enumeration date
08/26/2008
Last updated
01/26/2010
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