Organization
MOBILE IMAGING AND DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LANDRETH (PRESIDENT & CEO)
(337) 288-1908
Entity
Organization
Contact information
Practice address
910 HARDING ST, LAFAYETTE, LA 70503-2450
(337) 412-6702
(337) 504-2158
Mailing address
910 HARDING ST, LAFAYETTE, LA 70503-2450
(337) 412-6702
(337) 504-2158
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Enumeration date
06/14/2011
Last updated
09/26/2014
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