Organization
LOUISIANA DIAGNOSTIC AND IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERI NICOLE BROWN (OWNER)
(337) 324-0905
Entity
Organization
Contact information
Practice address
5633 CORMIER RD, VINTON, LA 70668-6316
(337) 324-0905
Mailing address
5633 CORMIER RD, VINTON, LA 70668-6316
(337) 324-0905
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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