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Organization

ADVANCED IMAGING SPECIALTIES LLC

Active
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Organization

ADVANCED IMAGING SPECIALTIES LLC

Active
Other names
Advanced Imaging Specialties
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER T MALLAVARAPU M.D. (MANAGER)
(337) 261-0928
Entity
Organization

Contact information

Practice address
120 W MAIN ST, SUITE 2, VILLE PLATTE, LA 70586-4574
(337) 363-5684
Mailing address
5000 AMBASSADOR CAFFERY PKWY, BUILDING 1, LAFAYETTE, LA 70508-6984

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
10/05/2009
Last updated
11/01/2010
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