Organization
JAB RAD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA A BORNE M.D. (MANAGING MEMBER)
(504) 347-1333
Entity
Organization
Contact information
Practice address
5201 WESTBANK EXPY, SUITE 215, MARRERO, LA 70072-2939
(504) 347-1333
(504) 347-4755
Mailing address
PO BOX 686, METAIRIE, LA 70004-0686
(504) 347-1333
(504) 347-4755
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
018747
LA
Other
Enumeration date
03/29/2007
Last updated
01/04/2012
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