Organization
ST. ELIZABETH IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREY WILLIAMSON (CEO)
(225) 924-2424
Entity
Organization
Contact information
Practice address
17609 OLD JEFFERSON HWY, SUITE A, PRAIRIEVILLE, LA 70769-3979
(225) 924-2424
(225) 408-7843
Mailing address
17609 OLD JEFFERSON HWY, SUITE A, PRAIRIEVILLE, LA 70769-3979
(225) 924-2424
(225) 408-7843
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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