National Provider Identifier Database

MEDICAL CENTER DIAGNOSTICS LLC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

MEDICAL CENTER DIAGNOSTICS LLC
67250 INDUSTRY LANE
COVINGTON, LA70433
Phone: 985-809-0000
Fax: 985-898-3827
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for MEDICAL CENTER DIAGNOSTICS LLC

NPI Number 1487619797
Legal business name
LBN
MEDICAL CENTER DIAGNOSTICS LLC
Authorized official MICHAEL PITTMAN - (CEO OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/19/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • LA Medicaid: 1938934
  • LA Other: F1152 BLUE CROSS
  • LA Other: G1502 BLUE CROSS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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