# X-PRESS RAY OF OUACHITA LLC

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

## Provider details

- **NPI number:** 1629149414
- **Authorized official:** MR. TOMMY RAY BOLTON (OWNER)
- **Authorized official phone:** (318) 329-5844

## Contact information

- **Practice address:** 122 HERITAGE DRIVE, WEST MONROE, LA 71291-1420
- **Practice address phone:** (318) 329-5844
- **Practice address fax:** (318) 397-2420
- **Mailing address:** 122 HERITAGE DRIVE, WEST MONROE, LA 71291-1420
- **Mailing address phone:** (318) 329-5844
- **Mailing address fax:** (318) 397-2420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | LA5080 | LA | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 07/23/2008