Organization
NORTHEAST OUTPATIENT RADIOLOGY SERVICES
Active
Other names
South Louisiana Outpatient Radiology Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA SCROGGINS (COO)
(561) 630-6277
Entity
Organization
Contact information
Practice address
4545 BLUEBONNET BLVD, BATON ROUGE, LA 70809-5602
(561) 630-6277
(561) 630-6062
Mailing address
1005 W INDIANTOWN RD, SUITE 101, JUPITER, FL 33458-6834
(561) 630-6277
(561) 630-6062
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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