Organization
ULTRASOUND EXPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT K BOWMAN III (MEMBER)
(504) 913-5452
Entity
Organization
Contact information
Practice address
2100 BELLE CHASSE HWY, GRETNA, LA 70053-6651
(504) 913-5452
(504) 367-6601
Mailing address
2100 BELLE CHASSE HWY, GRETNA, LA 70053-6651
(504) 913-5452
(504) 367-6601
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012356
—
LA
Enumeration date
05/11/2011
Last updated
05/11/2011
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