Individual provider · Type 1 NPI
Lisa Tebault
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · New Orleans, LA
Practice location
11650 West Barrington Dr
New Orleans, LA 70128
Mailing address
PO Box 29561
New Orleans, LA 70189-0561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary | 335V00000X | None listed |
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier: A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the service…
Another provider at this address
About NPI 1689065880
Lisa Tebault's National Provider Identifier is 1689065880, issued on Feb 10, 2015. The primary taxonomy on file is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (335V00000X), and the practice location is in New Orleans, LA. The record was last updated on Mar 19, 2015.