Organization
OPEN AIR MRI OF LOUISIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W. HOLMES (CHIEF OPERATING OFFICER)
(337) 291-9161
Entity
Organization
Contact information
Practice address
501 W SAINT MARY BLVD, SUITE 108, LAFAYETTE, LA 70506-4600
(337) 231-5775
(337) 231-5776
Mailing address
501 W SAINT MARY BLVD, SUITE 108, LAFAYETTE, LA 70506-4600
(337) 231-5775
(337) 231-5776
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1443611
—
LA
Enumeration date
12/15/2005
Last updated
07/10/2007
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