Organization
LOCAL PORTABLE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE GIBBS (OWNER)
(318) 645-6525
Entity
Organization
Contact information
Practice address
165 ROCK HILL LN, NOBLE, LA 71462-3036
(318) 645-6525
Mailing address
PO BOX 23, MILAM, TX 75959-0023
(318) 645-6525
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
40577945Q
LA
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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