Organization
ACADIANA DIAGNOSTIC IMAGING LLC
Active
Other names
ACADIANA MRI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOYD D SNELLGROVE M.D. (MEDICAL DIRECTOR)
(337) 367-3910
Entity
Organization
Contact information
Practice address
2309 E MAIN ST, STE 100, NEW IBERIA, LA 70560-4046
(337) 367-3910
(337) 367-0131
Mailing address
PO BOX 3711, LAKE CHARLES, LA 70602-3711
(337) 367-3910
(337) 367-0131
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1440698
—
LA
Enumeration date
07/04/2006
Last updated
09/23/2024
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