Organization
RCOA IMAGING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK MOORE (VP OF ACCOUNTING AND FINANCE)
(561) 477-3500
Entity
Organization
Contact information
Practice address
1000 OCHSNER BLVD, COVINGTON, LA 70433-8107
(866) 293-3500
(866) 293-3535
Mailing address
PO BOX 850001, ORLANDO, FL 32885-0375
(866) 293-3500
(866) 293-3535
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
6838-17
LA
Other
Enumeration date
07/05/2006
Last updated
08/22/2020
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