CENTRAL LOUISIANA IMAGING CENTER LLC; NPI #1295733616

Contact Information

CENTRAL LOUISIANA IMAGING CENTER LLC

3704 NORTH BLVD
SUITE 1
ALEXANDRIA, LA 71301

Phone: 318-442-8399
Fax: 318-448-9897
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for CENTRAL LOUISIANA IMAGING CENTER LLC

NPI Number 1295733616

LBN Legal business name CENTRAL LOUISIANA IMAGING CENTER LLC

Authorized official ALFED MANSOUR - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/09/2005

Last updated 05/23/2008 - About 18 years ago

Identifiers

Medicaid

1447226

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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