Organization
FRIENDLY CARE DIAGNOSTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGO KUTELIA (CEO)
(818) 219-7003
Entity
Organization
Contact information
Practice address
3216 N TURNBULL DR, SUITE C, METAIRIE, LA 70002-5732
(504) 885-6932
(504) 885-2987
Mailing address
3216 N TURNBULL DR, SUITE C, METAIRIE, LA 70002-5732
(504) 885-6932
(504) 885-2987
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2111205
—
LA
Enumeration date
04/01/2011
Last updated
04/01/2011
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