Organization
CROWLEY CARDIAC WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NITIN LOURDES MALLA GENERAL PARTNER (MANAGING DIRECTOR)
(914) 494-3803
Entity
Organization
Contact information
Practice address
1113 E NORTHERN AVE, CROWLEY, LA 70526-3035
(337) 680-4877
(337) 205-7972
Mailing address
1113 E NORTHERN AVE, CROWLEY, LA 70526-3035
(337) 680-4877
(337) 205-7972
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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