19D1076794 CLIA NUMBER - BATON ROUGE GENERAL IMAGING CENTER

Laboratory Demographics

CLIA Number: 19D1076794

Facility Name: BATON ROUGE GENERAL IMAGING CENTER

Facility Address:
5422 DIJON DRIVE
BATON ROUGE, LA
ZIP 70808
Get Directions

Facility Phone Number: 225 769-9337

Facility Type: Other - IMAGING CENTER

Certificate Type: Waiver

NPI Number: 1407880339

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	19D1076794
LAB Type	Other - IMAGING CENTER
Facility Name	BATON ROUGE GENERAL IMAGING CENTER
Street	5422 DIJON DRIVE
City	BATON ROUGE
State	LA
ZIP	70808
Phone	225 769-9337
CertificateType	4
CertificateEffectiveDate	11/26/2023
CertificateExpirationDate	11/25/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024