| Pet Imaging Of Southwest Louisiana, Llc | |
|
600 Bayou Pines East Ste A Lake Charles LA 70601 | |
| (337) 493-5310 | |
| (337) 493-8524 |
| Full Name | Pet Imaging Of Southwest Louisiana, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 Bayou Pines East, Lake Charles, Louisiana |
| Authorized Official Name and Position | Remy Daniel Miller (PRACTICE MANAGER) |
| Authorized Official Contact | 3374935310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pet Imaging Of Southwest Louisiana, Llc 600 Bayou Pines East Ste A Lake Charles LA 70601 Ph: (337) 493-5310 | Pet Imaging Of Southwest Louisiana, Llc 600 Bayou Pines East Ste A Lake Charles LA 70601 Ph: (337) 493-5310 |
| NPI Number | 1548227523 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 01/25/2017 |
| Medicare PECOS PAC ID | 1355300617 |
|---|---|
| Medicare Enrollment ID | O20041004000799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548227523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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