Organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
Active
Other names
Lake Charles Memorial Diagnostic Center - Moss Bluff, Lake Charles Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN JOHNSON (CFO)
(337) 494-2094
Entity
Organization
Contact information
Practice address
217 SAM HOUSTON JONES PKWY STE 102, LAKE CHARLES, LA 70611-5644
(337) 480-5360
(337) 480-5361
Mailing address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 494-4729
(337) 494-2587
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
05/08/2024
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