Organization
IMAGE-3D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BROWN (IMAGING SPECIALIST)
(985) 674-5200
Entity
Organization
Contact information
Practice address
4600 HIGHWAY 22, SUITE 4, MANDEVILLE, LA 70471-2891
(985) 674-5200
(985) 626-0164
Mailing address
4600 HIGHWAY 22, SUITE 4, MANDEVILLE, LA 70471-2891
(985) 674-5200
(985) 626-0164
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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