Organization
LIFETOUCH IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEPPER MARIE BRASSEAUX RVT, RDMS-AB (OWNER/SONOGRAPHER)
(337) 288-0736
Entity
Organization
Contact information
Practice address
218 CALDWELL SUGAR RD, YOUNGSVILLE, LA 70592-6698
(337) 288-0736
Mailing address
218 CALDWELL SUGAR RD, YOUNGSVILLE, LA 70592-6698
(337) 288-0736
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
305S00000X
Point of Service
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
11/18/2021
Last updated
01/17/2023
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