Organization
PROFESSIONAL RADIOLOGY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J DONALDSON M.D. (MANAGING PARTNER)
(800) 256-1152
Entity
Organization
Contact information
Practice address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(800) 256-1152
(225) 930-7524
Mailing address
PO BOX 15929, BATON ROUGE, LA 70895-5929
(800) 256-1152
(225) 930-7524
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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