Organization
JEFF DAVIS IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CHRIS SCHUMACHER M.D. (MEDICAL DIRECTOR)
(337) 616-7000
Entity
Organization
Contact information
Practice address
1634 ELTON RD, JENNINGS, LA 70546-3614
(337) 616-7000
Mailing address
P O BOX 357, JENNINGS, LA 70546-0357
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445851
—
LA
Enumeration date
04/10/2006
Last updated
10/06/2014
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