Organization
ALPHA ONE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD NICHOLAS KIDD (CEO)
(225) 590-0790
Entity
Organization
Contact information
Practice address
16511 HIGHLAND CLUB AVE, BATON ROUGE, LA 70817-7020
(225) 590-0790
(225) 709-9444
Mailing address
16511 HIGHLAND CLUB AVE, BATON ROUGE, LA 70817-7020
(225) 590-0790
(225) 709-9444
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
6566327
LA
Other
Enumeration date
07/19/2012
Last updated
10/10/2012
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