# GLENWOOD SPECIALTY IMAGING LLC

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

## Provider details

- **NPI number:** 1336445816
- **Authorized official:** RONALD J ELDER (OFFICER)
- **Authorized official phone:** (318) 329-4200

## Contact information

- **Practice address:** 111 MCMILLAN RD, WEST MONROE, LA 71291-5319
- **Practice address phone:** (318) 387-2235
- **Practice address fax:** (318) 388-4334
- **Mailing address:** 117 SEABOARD LN BLDG E, ATTN: IASIS CORPORATE LEGAL DEPARTMENT, FRANKLIN, TN 37067-2855
- **Mailing address phone:** (615) 844-2747
- **Mailing address fax:** (615) 467-1271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2011
- **Last updated:** 02/01/2011