Organization · Type 2 NPI

Spine Diagnostic Center of Baton Rouge, Inc A Professional Medical Cor

Specialist · Baton Rouge, LA

NPI number 1790712214 Active

Practice location

5408 Flanders Dr
Baton Rouge, LA 70808-9168

Call (225) 769-5554 Map

Fax (225) 769-3334

Mailing address

PO Box 84128, 10523 N Oak Hill Pkwy Ste. B
Baton Rouge, LA 70884-4128

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	17228 (LA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

9 other providers at this address

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NPI record

NPI: 1790712214
Entity type: Organization (Type 2)
Issued: Jun 28, 2006
Last updated: Nov 23, 2021
Status: Active

Other names

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The Spine Diagnostic and Pain Treatment Center · doing business as
The Spine Diagnostic and Pain Treatment Center · doing business as

Authorized official

Danette Taylor Cargil
Operations Manager
(225) 769-1786

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1790712214

Spine Diagnostic Center of Baton Rouge, Inc A Professional Medical Cor's National Provider Identifier is 1790712214, issued on Jun 28, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Baton Rouge, LA. The record was last updated on Nov 23, 2021.