MEDICAL CENTER DIAGNOSTICS LLC; NPI #1487619797

Contact Information

MEDICAL CENTER DIAGNOSTICS LLC

67250 INDUSTRY LANE
COVINGTON, LA 70433

Phone: 985-809-0000
Fax: 985-898-3827
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for MEDICAL CENTER DIAGNOSTICS LLC

NPI Number 1487619797

LBN Legal business name MEDICAL CENTER DIAGNOSTICS LLC

Authorized official MICHAEL PITTMAN - (CEO OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/19/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

LA	Medicaid	1938934
LA	Other	F1152	BLUE CROSS
LA	Other	G1502	BLUE CROSS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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