Organization
JEFFERSON PHYSICIAN IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANIA TORRES (SUPERVISOR)
(504) 832-2115
Entity
Organization
Contact information
Practice address
4809 WICHERS DR, MARRERO, LA 70072-3026
(504) 348-8132
(504) 348-8485
Mailing address
1207 N CAUSEWAY BLVD, METAIRIE, LA 70001-4129
(504) 832-2115
(504) 832-2116
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/19/2006
Last updated
08/22/2020
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