Organization
PET IMAGING OF SOUTHWEST LOUISIANA, LLC
Active
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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