Organization
CRESCENT IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DAMIAN SILVESTRI M.D. (REGISTERED AGENT)
(985) 960-6249
Entity
Organization
Contact information
Practice address
60132 OAKLAWN AVE, LACOMBE, LA 70445-3888
(985) 649-1152
(985) 643-9808
Mailing address
1375 CORPORATE SQUARE DR, SLIDELL, LA 70458-3147
(985) 649-1152
(985) 643-9808
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10919R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1802697
—
LA
Enumeration date
09/03/2009
Last updated
01/13/2017
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