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Breast Center Of Acadiana, A Professional Medical Corporation

Radiology, Diagnostic Radiology in Lafayette, LA. Organization (NPI-2).

NPI number1366439549
StatusActive
Last updated in NPPESSep 21, 2026

Details

NPI
1366439549
Entity type
Organization (NPI-2)
Legal business name
Breast Center Of Acadiana, A Professional Medical Corporation
Organization subpart
No
Enumeration date
Oct 3, 2005
Certification date
Sep 21, 2026
Last updated
Sep 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology––Yes

Practice location

935 Camellia Blvd
Ste 100
Lafayette, LA 70508-6961

Phone 337-504-5000 · Fax 337-504-5646

Mailing address

15601 Dallas Pkwy Ste 300
Addison, TX 75001-6012

Phone 337-456-7479 · Fax 337-504-5646

Authorized official

Michael Deleo
Authorized Official
9043803168

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