Organization
ASCENSION OPEN MRI, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMRA GAUTHIER (ADMINISTRATOR)
(225) 930-0060
Entity
Organization
Contact information
Practice address
2622 SOUTH RUBY AVE, GONZALES, LA 70737
(225) 450-6125
(225) 450-6327
Mailing address
PO BOX 14149, BATON ROUGE, LA 70898-4149
(225) 450-6125
(225) 450-6327
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029742
—
LA
Enumeration date
03/30/2007
Last updated
11/23/2015
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