Organization
CARDIOVASCULAR IMAGING OF LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM BROUSSARD (CO OWNER)
(337) 288-1551
Entity
Organization
Contact information
Practice address
2671 MAIN HWY, BREAUX BRIDGE, LA 70517-6637
(337) 288-1551
Mailing address
2671 MAIN HWY, BREAUX BRIDGE, LA 70517-6637
(337) 288-1551
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
03/24/2010
Last updated
08/16/2010
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