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Jason Allen
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Lafayette, Louisiana
NPI 1861051831

Jason Allen is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Lafayette, LA. Jason Allen practices in Lafayette, LA. The NPI Number for Jason Allen is 1861051831 and holds a License No. 37-1930197 (Louisiana).

The current practice location address for Jason Allen is 120 Longfellow Dr, Lafayette, LA and can be reached out via phone at 337-230-9266.

Location: 120 Longfellow Dr, Lafayette, LA, 70503-6611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861051831
Provider Name
Jason Allen
Credential
Provider Entity Type
Individual
Gender
Male
Address
120 Longfellow Dr, Lafayette, LA, 70503-6611
Phone Number
337-230-9266
Fax Number
Provider Enumeration Date
06/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 Longfellow Dr
City
Lafayette
State
Louisiana
Zip
70503-6611
Phone Number
337-230-9266
Fax Number
person
Provider Business Mailing Address Details
Address
120 Longfellow Dr
City
Lafayette
State
Louisiana
Zip
70503-6611
Phone Number
337-230-9266
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
37-1930197 (Louisiana)
Definition
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 services are performed.
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