Metairie Imaging | |
3400 Division St Metairie LA 70002-4612 | |
(504) 454-3600 | |
(504) 454-3604 |
Full Name | Metairie Imaging |
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Speciality | Clinic/Center |
Location | 3400 Division St, Metairie, Louisiana |
Authorized Official Name and Position | Edward R Asaro (GENERAL PARTNER) |
Authorized Official Contact | 5044543600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Metairie Imaging 3400 Division St Metairie LA 70002-4612 Ph: (504) 454-3600 | Metairie Imaging 3400 Division St Metairie LA 70002-4612 Ph: (504) 454-3600 |
NPI Number | 1154438661 |
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Provider Enumeration Date | 08/23/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 6406835503 |
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Medicare Enrollment ID | O20040714000145 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154438661 | NPI | - | NPPES |
1949965 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Stephanie D Casey |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1508870783 PECOS PAC ID: 5294736088 Enrollment ID: I20070824000051 |
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