Organization
SPECIALTY IMAGING L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FORD G JACKA (BUSINESS MANAGER)
(318) 387-2235
Entity
Organization
Contact information
Practice address
111 MCMILLAN RD, WEST MONROE, LA 71291-5319
(318) 387-2235
(318) 388-4334
Mailing address
111 MCMILLAN RD, WEST MONROE, LA 71291-5319
(318) 387-2235
(318) 388-4334
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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