Organization
DATA SERVICE RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY A KITE M.D. (OWNER)
(985) 892-3225
Entity
Organization
Contact information
Practice address
95 E FAIRWAY DR, COVINGTON, LA 70433-7500
(985) 867-3800
Mailing address
120 INNWOOD DR, COVINGTON, LA 70433-9123
(985) 892-3225
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00050512
—
MS
05
—
1447544
—
LA
Enumeration date
05/30/2005
Last updated
10/30/2009
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