Organization
MOREHOUSE COMPUTERIZED IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD CHORETTE M.D. (PHYSICIAN/ SUPERVISING PHYSICIAN)
(318) 387-3453
Entity
Organization
Contact information
Practice address
416 GUNBY AVE, BASTROP, LA 71220-4406
(318) 281-3088
(318) 281-5832
Mailing address
1601 LAMY LN, MONROE, LA 71201-3735
(318) 387-3453
(318) 323-9045
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1945617
—
LA
Enumeration date
07/01/2006
Last updated
01/09/2008
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