Organization
GLENWOOD SPECIALTY IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD J ELDER (OFFICER)
(318) 329-4200
Entity
Organization
Contact information
Practice address
111 MCMILLAN RD, WEST MONROE, LA 71291-5319
(318) 387-2235
(318) 388-4334
Mailing address
117 SEABOARD LN BLDG E, ATTN: IASIS CORPORATE LEGAL DEPARTMENT, FRANKLIN, TN 37067-2855
(615) 844-2747
(615) 467-1271
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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