NPI 1376650820

Fairway Imaging, LLC

Organisation Physiological Laboratory Covington, LA

Practice location

Address: 1200 Pinnacle Parkway Suite 5, Covington, LA 70433-9169
Phone: (985) 809-6744
Fax: (965) 809-6745

Authorised official

Name: Monica Rester
Title: Administrator
Phone: (985) 809-6744

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Louisiana →

Registry record

NPI: 1376650820
Entity type: Organization
NPI issued: 23 Aug 2006
Record last updated: 15 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.