Organization
DELTA DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMPSON M. DIETZ MD (AUTHORIZED OFFICIAL)
(985) 405-5200
Entity
Organization
Contact information
Practice address
989 ROBERT BLVD., SLIDELL, LA 70458-2009
(985) 405-5200
(985) 405-5201
Mailing address
PO BOX 8430, METAIRIE, LA 70011-8430
(985) 405-5200
(985) 405-5201
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00706201
—
MS
05
—
1440230
—
LA
Enumeration date
06/21/2005
Last updated
09/14/2011
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