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MOBILE X-RAY OF LOUISIANA LLC NPI 1326102633


NPI Information

NPI: 1326102633
Provider Name: MOBILE X-RAY OF LOUISIANA, LLC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
1021 COOLIDGE BLVD.
LAFAYETTE, LA
ZIP 70503
Phone: (337) 412-6702
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MOBILE X-RAY OF LOUISIANA, LLC is a radiology and mobile clinic center in Lafayette, LA. MOBILE X-RAY OF LOUISIANA, LLC NPI is 1326102633. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1021 COOLIDGE BLVD.
LAFAYETTE, LA
ZIP 70503-000
Phone: (337) 412-6702
Fax: (337) 504-2158

The provider's authorized official is Jeremy A. Hebert .
The authorized official title is Manager and has the following contact phone number (337) 233-1987.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 11/18/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistNo
2261QR0208XClinic/CenterRadiology, MobileYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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