# EVANGELINE CLINICAL SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHRISTUS Advanced Diagnostics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548656465
- **Authorized official:** SCOTT MERRYMAN (CFO)
- **Authorized official phone:** (318) 561-7188

## Contact information

- **Practice address:** 855 PIERREMONT RD, SUITE 105, SHREVEPORT, LA 71106-2084
- **Practice address phone:** (318) 861-7413
- **Practice address fax:** (318) 865-5792
- **Mailing address:** 855 PIERREMONT RD, SUITE 105, SHREVEPORT, LA 71106-2084
- **Mailing address phone:** (318) 861-7413
- **Mailing address fax:** (318) 865-5792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/07/2015
- **Last updated:** 05/29/2015