Organization
NORTH OAKS MEDICAL CENTER, LLC
Active
Other names
Hospital Based Physicians - Radiologists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK T ANDERSON (CHIEF FINANCIAL OFFICER)
(985) 230-6602
Entity
Organization
Contact information
Practice address
15790 PAUL VEGA MD DR, RADIOLOGY DEPARTMENT, HAMMOND, LA 70403-1434
(985) 230-1101
(985) 230-1097
Mailing address
PO BOX 1708, HAMMOND, LA 70404-1708
(985) 230-1101
(985) 230-1097
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
282N00000X
General Acute Care Hospital
703
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5DY44
—
LA
Enumeration date
06/20/2012
Last updated
11/15/2018
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