| 3d Imaging Center | |
|
10343 Siegen Ln Ste 1a Baton Rouge LA 70810-4981 | |
| (225) 757-8450 | |
| (225) 757-8454 |
| Full Name | 3d Imaging Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10343 Siegen Ln Ste 1a, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Chad Lacour (OWNER) |
| Authorized Official Contact | 2257578450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 3d Imaging Center 10343 Siegen Ln Ste 1a Baton Rouge LA 70810-4981 Ph: (225) 757-8450 | 3d Imaging Center 10343 Siegen Ln Ste 1a Baton Rouge LA 70810-4981 Ph: (225) 757-8450 |
| NPI Number | 1053609875 |
|---|---|
| Provider Enumeration Date | 07/13/2011 |
| Last Update Date | 07/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053609875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | LA5037 (Louisiana) | Primary |
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