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Organization

CENTRAL IMAGING CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TAMRA GAUTHIER (ADMINISTRATOR)
(225) 930-0060
Entity
Organization

Contact information

Practice address
11424 SULLIVAN RD, BLDG. B - STE. C, BATON ROUGE, LA 70818-3615
(225) 261-7401
(225) 261-3561
Mailing address
PO BOX 78100, CENTRAL, LA 70837-8100
(225) 261-7401
(225) 261-3561

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1458911
LA
Enumeration date
05/28/2006
Last updated
11/23/2015
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