Organization
LOUISIANA PET IMAGING OF ALEXANDRIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HENRY COCHRAN (VICE PRESIDENT)
(318) 424-6486
Entity
Organization
Contact information
Practice address
5419A JACKSON STREET EXT, ALEXANDRIA, LA 71303-2322
(318) 441-2226
(318) 441-2240
Mailing address
920 PIERREMONT RD, SUITE 411, SHREVEPORT, LA 71106-2079
(318) 424-6486
(318) 424-6487
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
LA10218-L01
LA
Other
Enumeration date
07/26/2006
Last updated
08/22/2020
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