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Organization

AVOYELLES OPEN MRI, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRAD JOSEPH DEVILLE (OWNER/PRESIDENT)
(318) 253-7790
Entity
Organization

Contact information

Practice address
319 CENTER ST, MARKSVILLE, LA 71351-2841
(318) 253-7790
(318) 253-7750
Mailing address
319 CENTER ST, PO BOX 465, MARKSVILLE, LA 71351-2841
(318) 253-7790
(318) 253-7750

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1443999
LA
Enumeration date
09/15/2005
Last updated
08/22/2020
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