Organization
NEUROTECH OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KASEY S FONTENOT CNIM (PRESIDENT)
(985) 778-3148
Entity
Organization
Contact information
Practice address
194 LA TOUR BLVD, MATHEWS, LA 70375-2402
(985) 778-3148
(800) 786-0683
Mailing address
194 LA TOUR BLVD, MATHEWS, LA 70375-2402
(985) 778-3148
(800) 786-0683
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/17/2012
Last updated
01/14/2021
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