Provider Demographics
NPI:1154685857
Name:NUCLEONICS OF ACADIANA, LLC
Entity Type:Organization
Organization Name:NUCLEONICS OF ACADIANA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:SR
Authorized Official - Credentials:ARDMS RDCS RDMS RVT
Authorized Official - Phone:337-984-0446
Mailing Address - Street 1:131 N ROCLAY DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-6523
Mailing Address - Country:US
Mailing Address - Phone:337-984-0446
Mailing Address - Fax:337-984-0575
Practice Address - Street 1:131 N. ROCLAY DR.
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70578
Practice Address - Country:US
Practice Address - Phone:337-984-0446
Practice Address - Fax:337-984-0575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-27
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAARDMS 10538261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile