# RADIOLOGY IMAGING ASSOCIATES, LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265410583
- **Authorized official:** DR. KURT THOMAS GROZINGER M.D. (PRESIDENT)
- **Authorized official phone:** (318) 868-1559

## Contact information

- **Practice address:** 2105 AIRLINE DR, RADIOLOGY DEPARTMENT, BOSSIER CITY, LA 71111-3105
- **Practice address phone:** (318) 741-6078
- **Mailing address:** PO BOX 3509, SHREVEPORT, LA 71133-3509
- **Mailing address phone:** (318) 747-7370
- **Mailing address fax:** (318) 747-2913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | Yes |
| 2085B0100X | Body Imaging Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1338826 | — | LA |