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Organization
EVANGELINE CLINICAL SERVICES, INC.
Active
Organization
EVANGELINE CLINICAL SERVICES, INC.
Active
Other names
CHRISTUS Advanced Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT MERRYMAN (CFO)
(318) 561-7188
Entity
Organization
Contact information
Practice address
855 PIERREMONT RD, SUITE 105, SHREVEPORT, LA 71106-2084
(318) 861-7413
(318) 865-5792
Mailing address
855 PIERREMONT RD, SUITE 105, SHREVEPORT, LA 71106-2084
(318) 861-7413
(318) 865-5792
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/07/2015
Last updated
05/29/2015
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