Organization
PET IMAGING OF SOUTHWEST LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REMY DANIEL MILLER (PRACTICE MANAGER)
(337) 493-5310
Entity
Organization
Contact information
Practice address
600 BAYOU PINES EAST, STE A, LAKE CHARLES, LA 70601
(337) 493-5310
(337) 493-8524
Mailing address
600 BAYOU PINES EAST, STE A, LAKE CHARLES, LA 70601
(337) 493-5310
(337) 493-8524
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2006
Last updated
01/25/2017
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