NPI 1528313111

Alpha One Imaging, LLC

Organisation Physiological Laboratory Baton Rouge, LA

Practice location

Address: 16511 Highland Club Ave, Baton Rouge, LA 70817-7020
Phone: (225) 590-0790
Fax: (225) 709-9444

Authorised official

Name: Howard Nicholas Kidd
Title: Ceo
Phone: (225) 590-0790

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X Licence 6566327 (LA)

Other Physiological Laboratory providers in Louisiana →

Registry record

NPI: 1528313111
Entity type: Organization
NPI issued: 19 Jul 2012
Record last updated: 10 Oct 2012

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.