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NPI Profile for LISA TEBAULT in NEW ORLEANS, LA.
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Portable Xray Supplier |
335V00000X | 63 | Portable X-Ray Supplier |
| NPI Number | 1689065880 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/10/2015 | |
| Last updated | 03/19/2015 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LISA TEBAULT
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LISA TEBAULT