Organization
RADIOLOGY IMAGING ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT THOMAS GROZINGER M.D. (PRESIDENT)
(318) 868-1559
Entity
Organization
Contact information
Practice address
2105 AIRLINE DR, RADIOLOGY DEPARTMENT, BOSSIER CITY, LA 71111-3105
(318) 741-6078
Mailing address
PO BOX 3509, SHREVEPORT, LA 71133-3509
(318) 747-7370
(318) 747-2913
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1338826
—
LA
Enumeration date
01/06/2006
Last updated
08/22/2020
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