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Organization
WEST JEFFERSON CT SCAN LLC
Active
Organization
WEST JEFFERSON CT SCAN LLC
Active
Other names
Louisiana Imaging Center of West Jefferson
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN B. ROSS JR. MD (PRESIDENT)
(504) 391-7650
Entity
Organization
Contact information
Practice address
4525 WESTBANK EXPY, SUITE A, MARRERO, LA 70072-3120
(504) 349-6570
(504) 349-6575
Mailing address
4525 WESTBANK EXPY, SUITE A, MARRERO, LA 70072-3120
(504) 349-6570
(504) 349-6575
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447285
—
LA
Enumeration date
08/02/2005
Last updated
03/18/2015
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